go back

New Mexico rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.32 / $362.32 / $362.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.32 / $494.59 / $2,364.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.50 / $524.66 / $625.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $452.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.42 / $656.78 / $985.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $197.93 / $493.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $720.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $696.49 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $350.96 / $472.45