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New Mexico rates for HCPCS L5724

Addition, exoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.54 / $1,332.54 / $1,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.08 / $1,819.02 / $6,678.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $1,349.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $2,562.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.44 / $2,415.55 / $3,623.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $1,815.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $1,349.13 / $2,313.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.65 / $903.82 / $1,361.78