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New Mexico rates for HCPCS L2186

Addition to lower extremity fracture orthosis, adjustable motion knee joint, Lerman type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.17 / $83.17 / $83.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.17 / $127.73 / $489.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.06 / $120.06 / $120.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.64 / $120.06 / $120.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.68 / $169.61 / $254.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.63 / $54.63 / $127.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.64 / $120.06 / $204.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.83 / $84.62 / $127.46