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New Mexico rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.31 / $43.31 / $43.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $62.40 / $62.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $123.07 / $150.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $94.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $150.00 / $225.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $38.85 / $113.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $47.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.58 / $50.67 / $86.92