go back

New Mexico rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $17.51 / $17.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $26.88 / $137.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.84 / $243.64 / $455.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $28.52 / $33.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $23.10 / $23.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.10 / $23.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $52.31 / $78.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $26.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.10 / $41.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $17.80 / $26.83