go back

New Mexico rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.60 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.60 / $827.37 / $1,457.75
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
$454.93 / $925.28 / $1,318.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.89 / $1,077.68 / $1,380.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $736.67 / $1,325.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.38 / $984.54 / $1,338.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.27 / $1,149.53 / $1,603.87
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
$975.59 / $1,213.54 / $1,600.95