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New Mexico rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Facilitymedian $112 · 10th–90th $28–$3720%10%10th90th$112Professionalmedian $26 · 10th–90th $20–$440%20%10th90th$26$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $239.88 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $63.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $67.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $33.88 / $54.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.88 / $33.11