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New Mexico rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.62 / $100.61 / $100.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $69.45 / $85.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.20 / $97.20 / $97.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.99 / $426.23 / $714.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $54.23 / $78.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $84.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $84.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $82.06 / $123.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $49.72 / $84.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $103.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $55.35 / $86.84