go back

New Mexico rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $10.42 / $10.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $14.22 / $72.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $15.09 / $17.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $14.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $18.89 / $28.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $14.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $23.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.43 / $14.35