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New Mexico rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.37 / $529.37 / $529.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.37 / $722.63 / $3,127.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.91 / $766.56 / $913.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $694.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.54 / $1,405.68 / $2,108.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.44 / $308.44 / $721.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $1,122.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.74 / $574.10 / $731.11