go back

New Mexico rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.81 / $14.81 / $14.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $21.33 / $21.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $31.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $70.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.16 / $38.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $27.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $17.32 / $29.57