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New Mexico rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $295.12 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,174.90 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $251.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $186.21 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,148.15 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $295.12