At New Orleans Podiatry, we offer the gold standard in fungal nail treatment through a comprehensive, physician-directed approach that combines advanced topical antifungal therapy with the Nd:YAG PinPointe FootLaser™. The Nd:YAG PinPointe FootLaser™ belongs to the most studied laser category used in fungal nail treatment and is incorporated as part of a comprehensive care strategy designed to improve nail clarity and reduce fungal burden.
Topical antifungal medications help reduce microbial load on the surface of the nail and surrounding skin, while laser therapy penetrates the nail plate to target fungal organisms embedded deep within the nail bed—areas topical treatments alone cannot reach. This dual-modality strategy allows for more thorough treatment and supports healthier, clearer nail growth over time.
To further support consistency and long-term results, we also offer ClearPlan™, our monthly fungal nail treatment subscription. ClearPlan™ is designed for patients who value ongoing care and convenience, providing structured laser sessions, antifungal support, and physician oversight within a predictable monthly plan. This approach helps maintain treatment momentum, reduces the risk of reinfection, and offers built-in value for patients committed to nail restoration.
Every treatment plan is thoughtfully tailored by Dr. Lang, ensuring care that is precise, evidence-informed, and delivered with the elevated, concierge-level experience our patients expect.
Fungal nail disease is best addressed through a combination therapy approach, pairing topical antifungal medications with advanced laser technology. Topical treatments work at the surface of the nail and surrounding skin to reduce superficial fungal elements, while the PinPointe FootLaser™ penetrates the nail plate to target fungal organisms residing deeper within the nail bed—areas topical therapies alone cannot effectively reach. Used together, these modalities create a more comprehensive and effective treatment strategy.
Clinical studies support this dual-modality approach. Published data demonstrate improved outcomes when laser therapy is combined with topical antifungals compared to laser treatment alone. In a retrospective study by Weber et al. (2018), a mycological cure rate of 63% was reported with Nd:YAG laser therapy alone, increasing to 86% when laser treatment was paired with topical antifungal therapy. These findings reinforce the value of combination care in managing fungal nail infections.
Treatment frequency varies based on the severity and extent of infection. Mild cases may respond well with approximately three to four laser sessions, while more advanced or longstanding infections may require six to eight treatments to achieve optimal nail clarity and fungal reduction, as described in the literature (Landsman et al., 2010). Dr. Lang evaluates each patient individually to determine the most appropriate treatment schedule and supportive therapies.
PinPointe FootLaser™ treatment is offered at $200 per session.
Because fungal nail disease can vary significantly in severity and underlying cause, an initial consultation with Dr. Lang is required to confirm the diagnosis and determine whether laser therapy is appropriate for you. This visit allows for a comprehensive evaluation and the development of a personalized treatment plan tailored to your specific needs. The consultation is typically covered by insurance; for self-pay patients, the fee is reasonably priced. Regardless of how you choose to pay, every patient receives the same elevated, concierge-level care and attention.
Laser therapy for fungal nails is considered a cosmetic service and is therefore not covered by insurance. Health Savings Accounts (HSAs) may be used to help offset the cost of treatment when applicable.
To support more complete and lasting results, we recommend Clean Sweep™ Antimicrobial Shoe Shield, which helps reduce microbial contamination within footwear and lowers the risk of reinfection during and after treatment. We also offer topical antifungal therapies, including prescription and in-office options, and can guide you toward effective, cost-conscious pharmacy alternatives as part of your comprehensive care plan.
For patients who prefer a structured, monthly approach to ongoing fungal nail care, we also offer ClearPlan™, our subscription-based program designed to support treatment consistency, convenience, and long-term results. Additional details are outlined below.
Our team is happy to assist with any questions regarding coverage, pricing, or treatment options and remains available to support you throughout your care.
The Premier Subscription full kit, no prescription coverage
Initial Onboarding Package – $499.00 (One-Time Fee)
Monthly Subscription – $99/month
Ongoing care to keep your nails healthy:
The Insurance-Based Subscription using insurance for visits & prescriptions
Initial Onboarding Package – $290.00 (One-Time Fee)
Monthly Subscription – $99/month
Ongoing care to keep your nails healthy:
The Essential Subscription has out-of-network insurance with prescription coverage
Initial Onboarding Package – $410.00 (One-Time Fee)
Monthly Subscription – $99/month
Ongoing care to keep your nails healthy:
Outcomes vary by patient and are not guaranteed. Fungal nail care typically requires multiple treatments and ongoing maintenance. Clearance of the fungus and improvement in nail appearance may take several months, up to or over a year, or in the worst-case scenario, may not occur at all.
Insurance coverage is subject to your individual plan, medical necessity requirements, and policy exclusions. Patients are responsible for any amounts not covered by insurance or placed to their responsibility, including but not limited to co-pays, deductibles, co-insurance, and non-covered services.
By enrolling, you agree to pay all applicable fees, including any amounts not covered by insurance or placed to your responsibility such as co-pays, deductibles, co-insurance, and non-covered services. Medications, certain products, and procedures not specifically listed above are billed separately. Pricing is subject to change with reasonable notice. You remain financially responsible for all charges incurred for services received, regardless of changes to pricing, insurance coverage determinations, or your participation in the program.
A 30-day written notice is required to cancel your subscription. Fees for services already rendered are non-refundable. Prepaid unused months may be refunded upon request, less any discounts already applied for completed services. Missed appointments are forfeited. Appointment cancellations require at least 24 hours' notice to avoid forfeiture. Services included in each month’s subscription must be used within that month; unused services do not carry over to future months.
Some services in this program are performed by medical assistants under the supervision of a physician. All prescriptions, diagnoses, and treatment plans are provided by a licensed physician.
Self-pay pricing applies only to patients who are not subscribers to any insurance plan for which New Orleans Podiatry is a provider. If you choose to bill insurance for any covered portion, insurance-based rates and billing policies will apply.
Carney, C., Tosti, A., Daniel, R., Scher, R., Rich, P., Pariser, D., & Elewski, B. (2013). A protocol for diagnosis and treatment of onychomycosis. Journal of the American Academy of Dermatology, 68(6), 1068–1074.
Gupta, A. K., Versteeg, S. G., & Shear, N. H. (2018). A review of the use of laser systems for the treatment of onychomycosis. Lasers in Medical Science, 33(2), 435–449.
Hochman, L. G. (2011). Laser treatment of onychomycosis using a novel 0.65-millisecond pulsed Nd:YAG 1064-nm laser. Journal of Cosmetic and Laser Therapy, 13(1), 2–5.
Karsai, S., et al. (2018). Laser treatment of onychomycosis: An updated review. Lasers in Medical Science, 33(2), 285–292.
Landsman, A., Robbins, A. H., Wu, R., & Cook, J. (2010). Treatment of mild, moderate, and severe onychomycosis using a 0.65-millisecond pulsed Nd:YAG 1064-nm laser. Journal of the American Podiatric Medical Association, 100(3), 166–177.
Lipner, S. R., & Scher, R. K. (2019). Onychomycosis: Clinical overview and diagnosis. Journal of the American Academy of Dermatology, 80(4), 835–851.
Weber, M., et al. (2018). Treatment of onychomycosis using a 1064-nm diode laser with or without topical antifungal therapy: A retrospective study. Lasers in Medical Science, 33(2), 435–449.
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