go back

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
$239.56 / $239.56 / $239.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.61 / $327.02 / $1,252.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.17 / $346.89 / $413.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $203.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.40 / $434.25 / $651.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $104.90 / $326.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $416.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $185.99 / $244.81