go back

New Mexico rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.12 / $471.12 / $471.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.14 / $643.12 / $2,582.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $948.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.21 / $854.02 / $1,281.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $216.18 / $641.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $419.41 / $805.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.61 / $334.86 / $504.53