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New Mexico rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $11.93 / $32.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $11.87 / $11.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.58 / $15.76 / $20.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $21.12 / $21.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.11 / $21.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $21.12 / $21.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $8.00 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $8.01 / $14.85