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New Mexico rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $316.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $158.49 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $117.49 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $107.15 / $158.49