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New Mexico rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $295.12 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $295.12 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $295.12