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New Mexico rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.64 / $296.64 / $296.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.22 / $404.93 / $1,510.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.16 / $429.55 / $511.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $260.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.17 / $537.72 / $806.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $129.88 / $404.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $613.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $201.20 / $303.14