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New Mexico rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.37 / $77.37 / $77.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.37 / $118.82 / $442.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.53 / $126.04 / $150.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $99.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.89 / $231.12 / $346.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $45.17 / $118.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $179.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $69.95 / $105.39