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New Mexico rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.73 / $279.73 / $279.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.73 / $348.13 / $2,143.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.69 / $3,892.12 / $7,271.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.78 / $455.71 / $542.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $372.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.52 / $835.65 / $1,253.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $179.44 / $428.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $668.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.99 / $277.95 / $418.70