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New Mexico rates for HCPCS A5503

For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker bottom, per shoe

Facilitymedian $30 · 10th–90th $11–$480%20%10th90th$30Professionalmedian $27 · 10th–90th $18–$380%20%10th90th$27$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
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $67.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.84 / $50.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $33.88 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.05 / $26.92