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New Mexico rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.68 / $1,063.68 / $1,063.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.68 / $1,130.27 / $7,239.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.61 / $1,732.82 / $2,064.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $1,277.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.03 / $3,177.54 / $4,766.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $606.11 / $1,630.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $2,230.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.48 / $938.86 / $1,414.25