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New Mexico rates for HCPCS 12057

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.47 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.17 / $601.47 / $2,236.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.68 / $656.99 / $974.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $216.31 / $912.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.63 / $588.52 / $925.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.51 / $683.55 / $1,121.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.40 / $881.13 / $1,129.05