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New Mexico rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $645.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $316.23 / $426.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $245.47 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $245.47