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New Mexico rates for HCPCS L3760

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.32 / $270.32 / $270.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $294.22 / $1,206.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.29 / $440.38 / $524.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.03 / $336.03 / $336.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $673.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.02 / $551.28 / $826.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $157.77 / $414.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $336.03 / $642.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.91 / $244.39 / $368.14