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New Mexico rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $851.14 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $812.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $812.83