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New Mexico rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.16 / $129.16 / $129.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $176.31 / $695.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $290.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $234.13 / $351.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $62.01 / $175.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $126.98 / $247.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.82 / $96.06 / $144.72