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New Mexico rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.70 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $92.32 / $380.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.78 / $1,596.33 / $2,411.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.45 / $94.52 / $169.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $119.71 / $186.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $98.30 / $174.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.17 / $101.76 / $176.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.04 / $134.19 / $223.26
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
$112.80 / $171.13 / $222.95