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New Mexico rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $602.56 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $537.03