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New Mexico rates for HCPCS L5702

Replacement Socket Hip Disarticulation Including Hip Joint Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.08 / $2,882.08 / $2,882.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,882.08 / $3,934.27 / $20,060.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,130.09 / $4,173.45 / $4,972.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $7,114.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.57 / $5,224.47 / $7,836.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $1,679.50 / $3,926.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $3,745.37 / $7,473.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.32 / $2,601.52 / $3,981.03