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New Mexico rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.51 / $1,521.51 / $1,521.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.58 / $2,076.98 / $9,150.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.45 / $2,203.26 / $2,625.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $1,486.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.48 / $2,758.11 / $4,137.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.08 / $766.08 / $2,072.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $3,175.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.15 / $1,186.65 / $1,815.90