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New Mexico rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.80 / $117.80 / $117.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.80 / $160.81 / $778.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.94 / $170.59 / $203.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $170.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.83 / $213.54 / $320.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $65.18 / $170.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $250.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.35 / $115.58 / $154.50