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New Mexico rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.53 / $469.53 / $469.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.39 / $640.94 / $2,455.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $412.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.90 / $851.13 / $1,276.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $205.60 / $639.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $866.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $318.47 / $490.75