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New Mexico rates for HCPCS L3927

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.42 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $56.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $57.54 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $28.84 / $41.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.05 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $25.70