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New Mexico rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.60 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.92 / $369.62 / $1,320.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.78 / $1,645.60 / $2,603.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.87 / $319.79 / $524.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.68 / $422.22 / $631.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $304.72 / $587.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.91 / $372.26 / $619.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.48 / $463.60 / $728.34
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
$442.34 / $571.83 / $730.23