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New Mexico rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,714.06 / $9,714.06 / $9,714.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,714.06 / $13,260.47 / $49,326.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,550.00 / $14,066.66 / $16,760.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $9,812.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,087.28 / $17,609.11 / $26,413.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $11,501.68 / $11,501.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $20,635.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,301.45 / $8,528.99 / $12,169.09