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New Mexico rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $72.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $88.28 / $508.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $117.58 / $140.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $102.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.48 / $215.61 / $323.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $45.51 / $110.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $184.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.17 / $70.48 / $106.19