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New Mexico rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.64 / $347.64 / $347.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.32 / $474.56 / $1,765.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $405.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.15 / $630.19 / $945.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $180.36 / $473.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $716.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.29 / $279.36 / $420.82