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New Mexico rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.14 / $445.14 / $445.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.66 / $607.65 / $2,630.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.44 / $644.59 / $768.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $427.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.53 / $806.92 / $1,210.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $220.22 / $606.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $945.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.39 / $390.48 / $525.65