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New Mexico rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.44 / $73.44 / $73.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.63 / $112.78 / $446.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $75.81 / $75.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.35 / $75.81 / $75.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.81 / $149.77 / $224.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.34 / $37.34 / $112.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.35 / $75.81 / $135.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.52 / $57.84 / $87.13