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New Mexico rates for HCPCS 13100

Repair, complex, trunk; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.28 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.71 / $270.25 / $484.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.78 / $1,645.60 / $2,474.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.05 / $268.42 / $434.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.42 / $345.74 / $542.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $284.83 / $505.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.28 / $306.63 / $532.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.10 / $373.93 / $613.04
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
$330.64 / $492.45 / $631.79