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New Mexico rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.94 / $2,880.87 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.17 / $769.18 / $1,651.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.23 / $5,620.80 / $8,722.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.84 / $859.07 / $1,201.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.07 / $975.18 / $1,297.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $691.69 / $1,241.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.07 / $880.46 / $1,238.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.90 / $1,060.33 / $1,470.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.41 / $1,165.34 / $1,485.25