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New Mexico rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Facilitymedian $7,079 · 10th–90th $2,951–$10,7150%10%20%10th90th$7,079Professionalmedian $5,495 · 10th–90th $4,571–$9,1200%20%10th90th$5,495$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,495.41 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $12,589.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,232.93 / $15,488.17
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $7,413.10 / $10,471.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $10,471.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,079.46 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,570.88 / $6,918.31