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New Mexico rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.78 / $1,066.78 / $1,066.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.78 / $1,456.24 / $6,862.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.58 / $1,544.78 / $1,840.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,226.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.04 / $1,933.80 / $2,900.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $622.83 / $1,453.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $2,266.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.99 / $983.89 / $1,476.33