go back

New Mexico rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $234.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $316.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $151.36 / $208.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $120.23 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $120.23