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New Mexico rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.51 / $661.51 / $661.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.51 / $1,015.89 / $4,453.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $842.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.24 / $1,349.05 / $2,023.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $434.49 / $1,013.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,580.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.10 / $673.03 / $1,013.81