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New Mexico rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.92 / $470.92 / $470.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.97 / $642.84 / $1,897.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $410.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.92 / $853.66 / $1,280.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.80 / $211.80 / $641.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $824.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.67 / $328.08 / $494.21