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New Mexico rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.13 / $216.13 / $216.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.13 / $295.04 / $1,104.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $228.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.44 / $391.80 / $587.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $117.66 / $294.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $459.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.51 / $182.26 / $274.54