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New Mexico rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.22 / $1,854.22 / $1,854.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.35 / $2,531.16 / $10,308.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $2,283.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,688.98 / $3,361.23 / $5,041.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $863.01 / $2,525.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $3,938.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.98 / $1,336.80 / $2,059.96