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New Mexico rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.82 / $1,012.82 / $1,012.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.62 / $1,382.58 / $4,672.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $913.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $913.06 / $913.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.79 / $1,835.99 / $2,753.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.62 / $470.62 / $1,379.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $913.06 / $1,712.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.01 / $728.99 / $1,115.54