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New Mexico rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.31 / $1,470.31 / $1,470.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.14 / $2,007.09 / $9,378.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $1,523.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $1,523.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.23 / $2,665.30 / $3,997.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.15 / $785.15 / $2,003.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $2,856.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.46 / $1,216.18 / $1,861.09