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New Mexico rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $71 · 10th–90th $13–$2140%10%10th90th$71Professionalmedian $13 · 10th–90th $11–$220%20%40%10th90th$13$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $138.04 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $45.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $20.89 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $20.42