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New Mexico rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Facilitymedian $28 · 10th–90th $15–$500%10%10th90th$28Professionalmedian $17 · 10th–90th $14–$300%20%10th90th$17$10.0$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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $27.54 / $50.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.38 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $36.31