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New Mexico rates for HCPCS L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $323.59 / $489.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $223.87 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $302.00