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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
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $489.78 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $457.09 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $457.09