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New Mexico rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $19 · 10th–90th $8–$300%10%10th90th$19Professionalmedian $14 · 10th–90th $11–$250%20%10th90th$14$10.0$20.0$50.0$100.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.42 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.59 / $19.05