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New Mexico rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.59 / $374.59 / $374.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.72 / $511.34 / $1,902.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.82 / $542.41 / $646.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $436.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.21 / $679.02 / $1,018.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.58 / $195.58 / $510.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $772.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.11 / $302.95 / $456.47