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New Mexico rates for HCPCS L5655

Addition to lower extremity, socket insert, below knee (BK) (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $245 · 10th–90th $102–$4170%10%10th90th$245Professionalmedian $191 · 10th–90th $158–$3240%20%10th90th$191$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $190.55 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $812.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $269.15 / $416.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $245.47 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $158.49 / $239.88