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New Mexico rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.95 / $95.98 / $95.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $42.92 / $159.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.65 / $277.39 / $495.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $45.53 / $54.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $33.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $57.00 / $85.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $42.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $64.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $25.27 / $38.06