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New Mexico rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,432.92 / $2,432.92 / $2,432.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.73 / $3,321.13 / $12,354.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,642.28 / $3,523.04 / $4,197.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $2,448.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.27 / $6,460.34 / $9,690.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.19 / $1,262.19 / $3,314.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $5,017.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.67 / $1,955.12 / $2,991.86