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New Mexico rates for HCPCS 14040

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.10 / $2,521.30 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.62 / $725.85 / $1,500.09
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
$376.27 / $814.04 / $1,120.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.23 / $949.36 / $1,209.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $645.34 / $1,159.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.03 / $839.07 / $1,173.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.66 / $1,012.66 / $1,407.15
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
$798.18 / $1,109.83 / $1,401.39