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New Mexico rates for HCPCS L1270

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.48 / $43.48 / $43.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.48 / $66.77 / $335.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $70.81 / $84.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.17 / $64.62 / $64.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.89 / $129.87 / $194.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.11 / $28.11 / $66.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.17 / $64.62 / $102.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $43.55 / $65.59