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New Mexico rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without 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
$135.16 / $135.16 / $135.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $147.11 / $616.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.72 / $200.72 / $206.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.51 / $1,880.74 / $3,513.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.16 / $220.21 / $262.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $135.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.04 / $403.80 / $605.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $78.89 / $207.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $313.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $122.20 / $184.07