go back

New Mexico rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.40 / $201.40 / $201.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.40 / $274.93 / $1,404.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $274.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.08 / $365.10 / $547.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $117.59 / $274.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $443.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.41 / $208.51 / $280.68