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New Mexico rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,949.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $977.24 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $602.56 / $912.01