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New Mexico rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $56.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $28.84 / $41.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.05 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.98 / $25.70