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New Mexico rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.58 / $1,314.58 / $1,314.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.46 / $1,794.50 / $7,830.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $1,271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.44 / $1,271.83 / $1,271.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.39 / $2,382.98 / $3,574.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.54 / $655.54 / $1,790.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.44 / $1,271.83 / $2,792.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.84 / $1,162.39 / $1,564.74