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New Mexico rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.62 / $198.62 / $198.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.14 / $271.13 / $1,008.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.72 / $287.62 / $342.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $231.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.04 / $360.05 / $540.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $103.04 / $270.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $409.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.56 / $159.61 / $244.23