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New Mexico rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $1,000 · 10th–90th $219–$3,3110%5%10%10th90th$1,000Professionalmedian $229 · 10th–90th $182–$3470%20%10th90th$229$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
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $218.78 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,137.96 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $288.40 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $338.84 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $190.55 / $281.84