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New Mexico rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.60 / $947.60 / $947.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.60 / $1,455.25 / $6,618.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,212.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.98 / $1,932.48 / $2,898.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $554.10 / $1,452.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $2,168.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.33 / $858.30 / $1,292.91