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New Mexico rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $28.84 / $48.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $20.89 / $35.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $19.50 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.79 / $19.50