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New Mexico rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $346.74 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,884.03 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $758.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $407.38 / $562.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $380.19 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $537.03