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New Mexico rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $446.00 / $446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.00 / $608.82 / $2,221.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $1,058.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.78 / $808.48 / $1,212.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $247.97 / $607.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $496.34 / $1,012.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.13 / $384.10 / $578.59