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New Mexico rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.89 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,538.26 / $5,538.26 / $5,538.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,552.54 / $16,307.81 / $25,305.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.33 / $713.33 / $960.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00