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New Mexico rates for HCPCS L5822

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.51 / $1,127.51 / $1,127.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.51 / $1,539.14 / $5,897.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.54 / $1,632.72 / $1,945.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $1,367.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.11 / $2,043.89 / $3,065.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.29 / $658.29 / $1,536.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $2,395.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,347.44 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.68 / $1,019.68 / $1,560.38