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New Mexico rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.88 / $55.88 / $55.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $85.81 / $375.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $84.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $113.95 / $170.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $36.70 / $85.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $141.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $56.85 / $85.63