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New Mexico rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,801.89 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,884.03 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $2,754.23