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New Mexico rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.47 / $422.47 / $422.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.47 / $576.71 / $2,887.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $485.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.66 / $765.83 / $1,148.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $241.75 / $575.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $889.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.23 / $374.47 / $570.40