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New Mexico rates for HCPCS L8035

Custom Breast Prosthesis Post Mastectomy Molded To Patient Model (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.82 / $2,452.82 / $2,452.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.98 / $3,348.29 / $12,455.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.89 / $3,551.85 / $4,013.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $5,435.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,834.16 / $2,834.16 / $2,834.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $1,272.51 / $3,341.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $3,060.59 / $5,180.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.45 / $1,971.11 / $2,969.85