go back

New Mexico rates for HCPCS L3455

Heel, new leather, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.18 / $24.18 / $24.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $37.13 / $138.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $60.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $49.32 / $73.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $14.11 / $37.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $57.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $21.86 / $32.93