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New Mexico rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $26.71 / $99.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $23.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $35.47 / $53.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.14 / $26.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $40.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $15.57 / $16.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $15.71 / $23.66