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New Mexico rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.01 / $1,199.01 / $1,199.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $1,636.74 / $4,887.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,179.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.79 / $2,173.48 / $3,260.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $525.02 / $1,633.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $1,018.60 / $1,956.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.91 / $813.25 / $1,244.49