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New Mexico rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $134.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $43.65 / $67.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $30.20 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $27.54 / $40.74