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New Mexico rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $55.28 / $55.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $84.90 / $452.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $76.68 / $76.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $76.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.24 / $106.56 / $159.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $46.25 / $121.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $126.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.21 / $71.01 / $71.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $71.65 / $107.93