go back

New Mexico rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $223.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $109.65 / $141.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $64.57 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $87.10