go back

New Mexico rates for HCPCS L2030

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $870.96 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $851.14