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New Mexico rates for HCPCS L6704

Terminal Device, Sport/Recreational/Work Attachment,Any Materiany

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.52 / $513.52 / $513.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.17 / $700.99 / $2,704.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $527.25 / $527.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.70 / $930.88 / $1,396.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.39 / $226.39 / $699.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $527.25 / $881.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.22 / $401.42 / $528.35