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New Mexico rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,090.30 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,754.40 / $8,511.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,801.89 / $6,606.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $3,890.45