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New Mexico rates for HCPCS 13122

Repair, complex, scalp, arms, and/or legs; 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
$107.15 / $204.17 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $123.03 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $489.78 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $112.20 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $35.48 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $123.03 / $186.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $138.04 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $218.78