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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
$3,835.33 / $3,835.33 / $3,835.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,352.62 / $5,235.53 / $20,167.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,165.37 / $5,553.83 / $6,617.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,052.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $4,052.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,561.97 / $6,952.47 / $10,428.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.85 / $1,797.85 / $5,224.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $8,147.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.82 / $2,784.85 / $4,261.57