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New Mexico rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.44 / $71.44 / $71.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $97.52 / $451.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $97.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.58 / $129.47 / $194.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $37.83 / $97.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $149.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $156.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.17 / $58.60 / $89.66