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New Mexico rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.37 / $191.37 / $191.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.54 / $293.89 / $991.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.82 / $311.76 / $371.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $189.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.22 / $390.28 / $585.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $97.89 / $293.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $392.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $151.62 / $228.40