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New Mexico rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $21.88 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $20.89 / $33.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $18.62 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $18.62