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New Mexico rates for HCPCS L6026

Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.40 / $2,482.40 / $2,482.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,482.40 / $3,388.67 / $16,049.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $3,323.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $3,323.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,599.95 / $4,499.93 / $6,749.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.85 / $3,295.85 / $3,323.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $5,487.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.89 / $2,244.96 / $3,574.81