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New Mexico rates for HCPCS L2265

Addition To Lower Extremity Long Tongue Stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.74 / $86.74 / $86.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $133.21 / $510.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.99 / $141.32 / $168.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $106.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $106.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $259.14 / $388.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $42.73 / $132.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $155.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.59 / $65.59 / $65.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $66.19 / $99.70