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New Mexico rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,630.78 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,467.37 / $4,677.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,019.95 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,238.72 / $3,019.95