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New Mexico rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.07 / $851.07 / $851.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.94 / $1,161.78 / $3,338.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.32 / $1,232.42 / $1,468.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $930.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.21 / $1,542.77 / $2,314.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.67 / $372.67 / $1,159.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $1,441.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.72 / $577.25 / $869.74