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New Mexico rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.86 / $77.86 / $77.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $85.90 / $517.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.23 / $780.42 / $1,381.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $126.84 / $151.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $115.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $115.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.02 / $158.78 / $238.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $46.07 / $119.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $181.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.79 / $71.36 / $107.49