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New Mexico rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.42 / $380.42 / $380.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.42 / $584.22 / $2,908.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $626.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.64 / $775.80 / $1,163.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.51 / $243.51 / $626.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $944.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.49 / $377.20 / $568.20