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New Mexico rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $21.48 / $78.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $15.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $28.53 / $42.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $21.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $31.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $12.61 / $19.00