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New Mexico rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $562.34 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $537.03 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $288.40 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $93.33 / $501.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $309.03 / $524.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $588.84
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
$245.47 / $371.54 / $602.56