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New Mexico rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,495.41 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $9,332.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,918.31 / $10,471.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,128.61 / $7,079.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,168.69 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,162.28 / $4,168.69