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New Mexico rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.78 / $336.78 / $336.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.48 / $459.73 / $1,509.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.76 / $487.68 / $581.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $338.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.40 / $610.50 / $915.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $168.53 / $458.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $613.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.26 / $261.06 / $393.34