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New Mexico rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $30 · 10th–90th $17–$540%10%10th90th$30Professionalmedian $20 · 10th–90th $17–$350%20%10th90th$20$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $81.28 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $57.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $42.66