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New Mexico rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.17 / $37.17 / $37.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $59.18 / $301.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.91 / $448.71 / $779.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $48.86 / $68.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $67.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $89.60 / $125.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $31.74 / $74.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $101.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $49.17 / $74.06