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New Mexico rates for HCPCS L5858

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

Facilitymedian $15,488 · 10th–90th $6,457–$22,9090%20%10th90th$15,488Professionalmedian $12,023 · 10th–90th $9,772–$19,9530%20%40%10th90th$12,023$100.0$500.0$2.0K$10.0K$50.0K

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
$12,302.69 / $12,302.69 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,022.64 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $27,542.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $22,387.21 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $15,488.17 / $22,908.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,000.00 / $15,135.61