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New Mexico rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.95 / $398.95 / $398.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.95 / $544.60 / $2,610.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.28 / $577.71 / $688.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $472.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.24 / $723.20 / $1,012.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $218.52 / $543.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $847.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.97 / $407.10 / $521.61