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New Mexico rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Facilitymedian $71 · 10th–90th $32–$1170%10%10th90th$71Professionalmedian $54 · 10th–90th $45–$890%20%10th90th$54$50.0$100.0$200.0$500.0

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
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $144.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $72.44 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $53.70 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $48.98 / $72.44