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New Mexico rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.57 / $1,148.57 / $1,148.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.57 / $1,763.87 / $6,561.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.33 / $1,871.11 / $2,229.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,863.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.85 / $2,342.32 / $3,513.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $670.35 / $1,760.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $1,300.55 / $2,728.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,038.36 / $1,564.15