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New Mexico rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $6.62 / $9.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $18.91 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $13.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.78 / $15.98 / $18.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.58 / $13.33