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New Mexico rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $1,370.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $117.89 / $117.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $200.00 / $300.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $117.89 / $117.89