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New Mexico rates for HCPCS 14301

Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.66 / $2,095.00 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.29 / $1,024.08 / $2,288.38
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$61.79 / $624.02 / $640.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $8,872.59 / $14,457.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.64 / $1,140.86 / $1,563.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.61 / $1,350.88 / $1,735.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $922.31 / $1,653.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.10 / $1,267.18 / $1,882.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.51 / $1,440.94 / $2,005.96
Providence
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$267.79 / $267.79 / $267.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $16,012.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.63 / $1,666.45 / $2,005.91