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New Mexico rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $11.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $8.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $70.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.28 / $8.50 / $16.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $15.14