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New Mexico rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.73 / $72.73 / $72.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.73 / $111.71 / $415.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.09 / $729.11 / $1,290.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $118.50 / $141.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.71 / $83.71 / $83.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $83.71 / $153.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.67 / $148.34 / $222.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $83.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $83.71 / $173.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.71 / $65.33 / $67.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $65.92 / $103.42