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New Mexico rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $691.83 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $426.58 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $575.44