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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
$466.52 / $466.52 / $466.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.78 / $636.84 / $2,045.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $458.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.54 / $845.68 / $1,268.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $228.32 / $635.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $927.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.99 / $353.67 / $532.75