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New Mexico rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.35 / $1,915.35 / $1,915.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.37 / $2,614.61 / $9,220.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.17 / $2,773.56 / $3,304.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $2,084.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.63 / $3,472.04 / $5,208.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $887.16 / $2,609.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $3,791.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.80 / $1,815.91 / $1,966.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.55 / $1,374.19 / $2,102.89