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New Mexico rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,253.48 / $2,253.48 / $2,253.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.12 / $3,076.19 / $11,442.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,993.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,267.99 / $4,084.99 / $6,127.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $1,176.59 / $3,069.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $2,282.71 / $4,759.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.08 / $1,822.54 / $2,788.97