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New Mexico rates for HCPCS L4070

Replace Proximal And Distal Upright For Kafo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.70 / $195.70 / $195.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.42 / $300.54 / $1,219.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $205.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $205.09 / $205.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.27 / $399.10 / $598.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.11 / $102.11 / $299.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $205.09 / $439.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.62 / $158.16 / $238.27