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New Mexico rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.25 / $1,674.25 / $1,674.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.76 / $2,285.48 / $8,501.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.33 / $2,424.44 / $2,888.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $1,952.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.99 / $3,034.99 / $4,552.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.59 / $868.59 / $2,280.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $3,453.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.97 / $1,470.01 / $2,027.18