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New Mexico rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.47 / $1,337.47 / $1,337.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.94 / $1,825.75 / $6,791.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.56 / $1,936.75 / $2,307.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,346.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.59 / $2,424.48 / $3,636.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $693.87 / $1,822.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $2,758.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.74 / $1,074.80 / $1,619.40