go back

New Mexico rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.66 / $513.66 / $513.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.50 / $701.19 / $2,279.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $589.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.90 / $931.13 / $1,396.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $254.51 / $699.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $926.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.31 / $394.23 / $603.27