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New Mexico rates for HCPCS A5507

For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.84 / $32.84 / $32.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.16 / $32.04 / $123.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $36.20 / $43.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $29.14 / $31.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $45.26 / $67.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $11.45 / $29.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $29.14 / $53.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $19.19 / $31.10