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New Mexico rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Facilitymedian $562 · 10th–90th $257–$1,0720%10%10th90th$562Professionalmedian $417 · 10th–90th $363–$7940%20%10th90th$417$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $416.87 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $977.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $588.84 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $426.58 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $398.11 / $588.84