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New Mexico rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $122.64 / $434.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $130.10 / $155.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $112.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $162.87 / $244.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $43.54 / $122.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $190.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.24 / $67.45 / $101.60