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New Mexico rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $269.15 / $371.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $173.78 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $158.49 / $239.88