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New Mexico rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.61 / $1,129.61 / $1,129.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.50 / $1,542.01 / $6,092.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $1,375.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.15 / $2,047.69 / $3,071.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $562.79 / $1,538.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $2,218.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.01 / $997.92 / $1,334.02