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New Mexico rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,786.30 / $7,244.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,548.13 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,388.44 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $3,388.44