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New Mexico rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $645.65 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $602.56 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $602.56