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New Mexico rates for HCPCS L3710

Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $80.30 / $80.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.30 / $123.32 / $440.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.47 / $804.97 / $1,425.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $130.82 / $155.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $85.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $85.16 / $85.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.01 / $163.77 / $245.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $43.89 / $123.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $85.16 / $159.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.73 / $67.98 / $102.42