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New Mexico rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.91 / $381.91 / $381.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.91 / $521.34 / $2,020.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.78 / $553.04 / $658.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $432.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.84 / $692.31 / $1,038.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $222.98 / $520.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $811.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $345.39 / $528.54