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New Mexico rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Facilitymedian $36 · 10th–90th $14–$600%10%10th90th$36Professionalmedian $25 · 10th–90th $22–$440%20%10th90th$25$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $79.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $33.88