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New Mexico rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,370.32 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $741.31 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $501.19 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $676.08