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New Mexico rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.03 / $947.03 / $947.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.03 / $1,454.36 / $5,572.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,206.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,206.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.04 / $1,931.31 / $2,896.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.02 / $622.02 / $1,451.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $2,263.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $963.51 / $1,451.39