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New Mexico rates for HCPCS L2136

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.87 / $711.87 / $711.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.87 / $1,093.23 / $5,125.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.50 / $832.50 / $832.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.73 / $832.50 / $832.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.40 / $1,451.75 / $2,177.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.10 / $429.10 / $1,090.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.73 / $832.50 / $1,561.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $664.67 / $1,001.24