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New Mexico rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $812.83 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $707.95 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $707.95