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New Mexico rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.34 / $225.34 / $225.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.38 / $307.61 / $1,347.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $243.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.79 / $408.49 / $612.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.81 / $112.81 / $306.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $478.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.57 / $174.74 / $267.41