go back

New Mexico rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.54 / $383.54 / $383.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.53 / $523.57 / $1,902.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.56 / $555.41 / $661.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.65 / $389.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.22 / $695.28 / $1,042.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $200.84 / $522.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.66 / $814.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $311.10 / $476.06