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New Mexico rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.56 / $78.56 / $78.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $120.64 / $448.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.98 / $127.97 / $152.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $88.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.15 / $160.19 / $240.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.85 / $45.85 / $120.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $182.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $71.02 / $106.98