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New Mexico rates for HCPCS Q4014

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.11 / $24.11 / $24.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $18.70 / $24.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $26.50 / $26.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $39.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $54.08 / $54.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $35.81 / $69.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $46.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $14.37 / $23.95