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New Mexico rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,816.26 / $4,816.26 / $4,816.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,659.47 / $6,574.58 / $24,455.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,230.71 / $6,974.28 / $8,309.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $6,042.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,984.51 / $8,730.64 / $13,095.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.65 / $2,498.65 / $6,561.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $9,933.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,578.48 / $4,270.97 / $5,831.47