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New Mexico rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.71 / $1,900.71 / $1,900.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.86 / $2,594.62 / $9,651.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.28 / $2,752.37 / $3,279.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,217.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $2,217.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.40 / $3,445.50 / $5,168.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.09 / $986.09 / $2,589.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $3,920.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.86 / $2,018.42 / $2,185.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.24 / $1,668.85 / $2,337.39