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New Mexico rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.09 / $38.09 / $38.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $58.49 / $293.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $62.05 / $73.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $54.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.02 / $113.78 / $170.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $24.54 / $58.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $89.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $38.02 / $57.27