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New Mexico rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Facilitymedian $891 · 10th–90th $20–$1,6980%10%10th90th$891Professionalmedian $20 · 10th–90th $20–$200%50%$20$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,000.00 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $158.49 / $199.53
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $32.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $31.62