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New Mexico rates for HCPCS 14021

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,754.40 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $245.47 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,265.80 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,513.56