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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
$3,156.96 / $3,156.96 / $3,156.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,084.95 / $4,309.50 / $17,765.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,428.63 / $4,571.50 / $5,447.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $3,728.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,578.20 / $5,722.76 / $8,584.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,762.02 / $3,762.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $6,706.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.23 / $3,060.91 / $3,948.74