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New Mexico rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $208.93 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $194.98 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $194.98