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New Mexico rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Facilitymedian $457 · 10th–90th $186–$6760%10%20%10th90th$457Professionalmedian $363 · 10th–90th $288–$5620%10%20%10th90th$363$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $512.86 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $933.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $645.65 / $954.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $457.09 / $676.08
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $288.40 / $426.58