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New Mexico rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.67 / $59.67 / $59.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.67 / $91.64 / $340.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $67.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.35 / $121.69 / $182.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $34.83 / $91.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $138.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $53.95 / $81.27