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New Mexico rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $14 · 10th–90th $6–$220%10%10th90th$14Professionalmedian $10 · 10th–90th $9–$180%20%10th90th$10$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $36.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $15.14 / $22.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.00 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $13.80