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New Mexico rates for HCPCS L3913

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.41 / $146.41 / $146.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.41 / $224.84 / $836.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.94 / $1,467.51 / $2,598.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.88 / $238.51 / $284.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $175.00 / $175.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.86 / $298.58 / $447.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $224.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $175.00 / $339.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.68 / $300.68 / $353.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.18 / $132.35 / $199.38