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New Mexico rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.55 / $715.55 / $715.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.55 / $1,098.88 / $4,905.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,057.34 / $1,057.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $1,057.34 / $1,057.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.47 / $1,459.25 / $2,042.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.67 / $410.67 / $1,096.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $1,057.34 / $1,561.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.59 / $636.11 / $958.22