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New Mexico rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.08 / $620.08 / $620.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.08 / $846.46 / $3,907.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.45 / $897.93 / $1,069.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $702.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.24 / $1,124.06 / $1,686.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $844.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $1,417.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.48 / $560.78 / $858.14