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New Mexico rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.08 / $98.08 / $98.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.08 / $150.63 / $577.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.84 / $159.79 / $190.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $142.94 / $142.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.01 / $200.02 / $300.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $64.42 / $150.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $142.94 / $269.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $99.79 / $150.31