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New Mexico rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.14 / $1,882.14 / $1,882.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.42 / $2,569.28 / $9,310.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.11 / $2,725.48 / $3,247.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $4,047.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.48 / $3,411.85 / $5,117.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.44 / $898.44 / $2,564.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,743.07 / $3,998.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.72 / $1,391.68 / $2,129.64