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New Mexico rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $52.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $70.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $22.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $42.65