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New Mexico rates for HCPCS L2116

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.96 / $433.96 / $433.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.96 / $666.44 / $3,085.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $501.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.99 / $884.99 / $1,327.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $258.31 / $665.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $939.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.30 / $400.12 / $602.72