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New Mexico rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $237.00 / $237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $94.80 / $94.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.45 / $128.77 / $128.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $99.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.35 / $94.80 / $109.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $47.40