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New Mexico rates for HCPCS L3935

Finger orthosis (FO), nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.44 / $119.44 / $119.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.44 / $183.43 / $1,080.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.59 / $194.59 / $231.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $135.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $135.22 / $135.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.87 / $243.59 / $365.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.70 / $69.70 / $183.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $135.22 / $277.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.03 / $107.97 / $162.63