go back

New Mexico rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.05 / $420.05 / $420.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.05 / $573.40 / $2,714.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.20 / $608.26 / $724.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $448.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.15 / $761.44 / $1,142.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.22 / $227.22 / $572.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $984.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.42 / $351.96 / $530.29