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New Mexico rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.32 / $560.32 / $560.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.32 / $860.50 / $4,395.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $714.02 / $714.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $714.01 / $714.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.15 / $1,142.69 / $1,714.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.03 / $368.03 / $858.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $714.02 / $1,595.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.62 / $570.07 / $858.74