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New Mexico rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.23 / $2,076.23 / $2,076.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.64 / $2,834.22 / $10,542.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $2,264.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.04 / $2,399.04 / $2,399.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.14 / $1,077.14 / $2,828.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $4,282.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.64 / $1,668.47 / $2,553.21