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New Mexico rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.91 / $599.91 / $599.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.87 / $921.28 / $3,823.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.94 / $6,013.35 / $10,645.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $620.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $620.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.72 / $1,223.41 / $1,835.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $320.07 / $919.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $1,357.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.17 / $495.79 / $746.83