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New Mexico rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.53 / $193.53 / $193.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.96 / $297.20 / $973.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $218.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.74 / $394.68 / $592.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $108.67 / $296.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $428.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.13 / $168.32 / $253.56