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New Mexico rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $549.54 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $478.63 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $478.63