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New Mexico rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.47 / $312.47 / $312.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $426.54 / $1,673.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.36 / $452.48 / $539.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $271.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.14 / $566.42 / $849.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.08 / $140.08 / $425.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $593.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $216.98 / $332.04