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New Mexico rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Facilitymedian $3,090 · 10th–90th $363–$10,2330%5%10th90th$3,090Professionalmedian $407 · 10th–90th $363–$7240%20%10th90th$407$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
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $407.38 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $6,606.93 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $660.69 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,230.27 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $602.56 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $363.08 / $537.03