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New Mexico rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.68 / $380.68 / $380.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.57 / $519.66 / $2,296.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.45 / $551.26 / $656.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $380.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.69 / $1,010.87 / $1,516.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $192.28 / $518.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $833.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.38 / $297.85 / $458.97