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New Mexico rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $83.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $57.54 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $40.74 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $28.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $38.02