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New Mexico rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.02 / $111.02 / $111.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.02 / $170.50 / $750.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $136.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.12 / $226.41 / $339.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $170.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $244.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $100.63 / $151.58