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New Mexico rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.76 / $634.76 / $634.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.32 / $866.50 / $3,062.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.39 / $919.19 / $1,095.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $582.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.52 / $1,150.66 / $1,725.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $277.95 / $864.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $1,051.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.07 / $430.54 / $658.85