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New Mexico rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.90 / $229.90 / $229.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.90 / $276.42 / $1,701.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.85 / $3,198.79 / $5,976.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $374.53 / $446.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $345.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.43 / $686.79 / $1,030.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $142.47 / $352.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $549.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.39 / $220.69 / $332.44