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New Mexico rates for HCPCS L3100

Hallux-valgus night dynamic splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.67 / $25.67 / $25.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.67 / $39.42 / $146.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $41.82 / $49.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $34.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $34.89 / $34.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $52.36 / $78.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $14.99 / $39.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $34.89 / $59.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.08 / $23.21 / $34.97