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New Mexico rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.31 / $117.31 / $117.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.79 / $160.13 / $613.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.40 / $169.87 / $202.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $99.66 / $99.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.11 / $212.64 / $318.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $51.37 / $159.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $99.66 / $219.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $91.08 / $122.61