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New Mexico rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.50 / $414.50 / $414.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.50 / $565.82 / $2,796.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $644.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.10 / $751.38 / $1,127.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $242.00 / $644.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $912.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.58 / $429.10 / $564.79