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New Mexico rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.27 / $947.27 / $947.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.27 / $1,454.73 / $6,994.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,207.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.44 / $1,931.80 / $2,897.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $622.17 / $1,451.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $2,696.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.08 / $963.76 / $1,451.76