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New Mexico rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.76 / $1,869.76 / $1,869.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.76 / $2,552.38 / $12,667.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.67 / $2,707.56 / $3,226.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $4,371.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.52 / $3,389.41 / $5,084.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $1,091.64 / $2,547.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $2,117.90 / $3,971.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.41 / $1,935.65 / $2,587.58