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New Mexico rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $5,128.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,570.40 / $3,981.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,398.83 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $2,398.83