go back

New Mexico rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $2,559.00 / $2,559.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $70.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $2,559.00 / $2,559.00