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New Mexico rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.46 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $166.05 / $326.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.57 / $1,168.13 / $1,764.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.18 / $210.23 / $262.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.06 / $205.45 / $283.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.14 / $150.69 / $267.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.44 / $179.72 / $269.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.22 / $228.54 / $312.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.18 / $240.10 / $318.50