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New Mexico rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Facilitymedian $107 · 10th–90th $32–$5750%10%10th90th$107Professionalmedian $39 · 10th–90th $32–$720%50%10th90th$39$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $380.19 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $107.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $51.29 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $48.98