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New Mexico rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $457.09 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $575.44 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $457.09 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $457.09