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New Mexico rates for HCPCS 12055

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.81 / $397.68 / $1,570.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.57 / $1,168.13 / $1,903.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.93 / $452.62 / $735.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.72 / $490.74 / $808.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $216.31 / $751.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.86 / $432.81 / $776.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.55 / $546.55 / $867.42
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
$450.21 / $682.08 / $904.80