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New Mexico rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.16 / $160.16 / $160.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.78 / $218.63 / $837.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.94 / $231.92 / $276.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $140.85 / $140.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $102.82 / $267.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.25 / $290.32 / $435.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.13 / $70.13 / $218.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $140.85 / $340.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $108.63 / $167.39