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New Mexico rates for HCPCS L3925

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), nontorsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf

Facilitymedian $36 · 10th–90th $17$720%10%10th90th$36Professionalmedian $32 · 10th–90th $26$600%10%20%10th90th$32$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $89.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $41.69 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $40.74