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New Mexico rates for HCPCS L2134

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.77 / $628.77 / $628.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.77 / $965.62 / $4,191.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.86 / $680.86 / $680.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $680.86 / $680.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.81 / $1,282.27 / $1,923.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.94 / $350.94 / $963.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $680.86 / $1,335.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.75 / $538.75 / $538.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.58 / $543.59 / $818.85