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New Mexico rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.47 / $60.47 / $60.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.47 / $92.87 / $474.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.88 / $98.51 / $117.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $79.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.65 / $123.32 / $184.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $39.72 / $92.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $144.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.86 / $61.52 / $92.68