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New Mexico rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.34 / $1,219.34 / $1,219.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.34 / $1,872.57 / $8,798.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $1,499.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.32 / $2,486.66 / $3,729.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $736.66 / $1,868.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $2,914.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.08 / $1,141.07 / $1,718.88