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New Mexico rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.54 / $96.26 / $96.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $145.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $224.96 / $337.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $59.84 / $174.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $56.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $78.17 / $134.16