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New Mexico rates for HCPCS L6930

Below Elbow External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.21 / $5,209.21 / $5,209.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,840.72 / $7,110.98 / $24,030.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $6,300.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,554.36 / $9,442.95 / $14,164.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $2,595.84 / $7,096.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $11,065.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,717.67 / $4,020.92 / $6,058.30