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New Mexico rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.72 / $1,535.72 / $1,535.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.00 / $2,096.38 / $6,829.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,606.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.08 / $2,783.86 / $4,175.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $672.46 / $2,092.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $2,733.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.07 / $1,180.38 / $1,569.07