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New Mexico rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.55 / $228.55 / $228.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.55 / $311.99 / $1,590.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $274.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.44 / $414.31 / $621.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $133.44 / $311.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $498.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.11 / $206.69 / $316.30