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New Mexico rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.88 / $225.88 / $225.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.50 / $346.88 / $1,329.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.98 / $367.97 / $438.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $215.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.51 / $460.64 / $690.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $111.27 / $346.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $404.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $172.36 / $259.63