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New Mexico rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,002.40 / $4,002.40 / $4,002.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.25 / $5,463.60 / $23,335.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,346.82 / $5,795.76 / $6,905.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $3,790.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,804.26 / $7,255.33 / $10,882.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $1,953.69 / $5,452.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $8,502.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,798.02 / $3,026.25 / $4,663.35