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New Mexico rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.63 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $537.63 / $1,814.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.40 / $575.95 / $876.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $216.31 / $830.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.22 / $491.28 / $837.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.64 / $628.37 / $1,079.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.96 / $765.91 / $1,002.94