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New Mexico rates for HCPCS L3919

Hand orthosis (HO), 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
Professional
Modifier
Low / Median / High Price
$178.88 / $238.51 / $284.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $176.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.89 / $437.37 / $656.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $224.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $339.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.18 / $132.35 / $199.38