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New Mexico rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,983.06 / $1,983.06 / $1,983.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.06 / $2,707.03 / $11,343.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.71 / $2,871.61 / $3,421.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $2,160.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,212.62 / $5,265.78 / $7,898.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $1,113.38 / $2,701.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $4,212.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.54 / $1,724.61 / $2,639.12