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New Mexico rates for HCPCS 14041

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.40 / $5,325.25 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.39 / $887.53 / $1,547.54
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
$498.92 / $908.13 / $1,404.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.39 / $1,157.79 / $1,473.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $784.21 / $1,410.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.34 / $1,079.74 / $1,421.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.23 / $1,248.89 / $1,738.75
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
$1,046.84 / $1,390.85 / $1,714.04