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New Mexico rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,041.58 / $8,041.58 / $8,041.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,663.06 / $10,977.39 / $32,008.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $8,732.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,661.85 / $14,577.32 / $21,865.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $3,573.07 / $10,954.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $13,000.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,018.89 / $5,534.64 / $8,469.50