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New Mexico rates for HCPCS L3340

Heel Wedge Sach (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.60 / $50.60 / $50.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.60 / $77.70 / $289.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.82 / $82.43 / $98.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.32 / $57.32 / $57.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $41.84 / $126.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.55 / $103.19 / $154.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $29.54 / $77.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $57.32 / $120.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.97 / $103.97 / $122.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $45.77 / $68.94