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New Mexico rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $78 · 10th–90th $33–$1320%10%10th90th$78Professionalmedian $60 · 10th–90th $49–$950%20%10th90th$60$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $60.26 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $194.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $91.20 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $56.23 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $75.86