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New Mexico rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.03 / $1,901.03 / $1,901.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.03 / $2,919.44 / $10,859.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.69 / $3,096.93 / $3,690.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $2,326.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.47 / $3,876.84 / $5,815.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.53 / $1,109.53 / $2,913.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $4,410.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.53 / $1,718.66 / $2,588.91