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New Mexico rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.98 / $1,076.98 / $1,076.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.98 / $1,653.93 / $7,210.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.87 / $1,754.49 / $2,090.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $1,306.07 / $1,306.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $1,306.07 / $1,306.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.82 / $3,217.28 / $4,825.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.20 / $673.20 / $1,650.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $1,306.07 / $2,823.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.83 / $1,042.77 / $1,570.79