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New Mexico rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.47 / $1,409.47 / $1,409.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.74 / $1,924.04 / $8,351.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.76 / $2,041.01 / $2,431.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,599.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.00 / $2,555.00 / $3,832.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $699.67 / $1,920.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $2,994.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.05 / $1,083.78 / $1,658.48