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New Mexico rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.61 / $706.61 / $706.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.61 / $1,085.16 / $5,039.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.35 / $1,151.13 / $1,371.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $891.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.81 / $1,441.02 / $2,161.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $459.43 / $1,082.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,688.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.17 / $711.65 / $1,072.01