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New Mexico rates for HCPCS L3931

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,202.26 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $162.18 / $229.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $112.20 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $100.00 / $151.36