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New Mexico rates for HCPCS L1050

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, sternal pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.30 / $59.30 / $59.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.34 / $91.07 / $360.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $71.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.73 / $120.92 / $181.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $30.21 / $90.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $135.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $106.31 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $46.79 / $70.48