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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
$642.24 / $642.24 / $642.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.24 / $986.29 / $4,282.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $1,702.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.79 / $1,309.74 / $1,964.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $387.68 / $984.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $752.15 / $1,582.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.27 / $600.52 / $904.60