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New Mexico rates for HCPCS 14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Facilitymedian $2,089 · 10th–90th $1,122–$8,7100%10%10th90th$2,089Professionalmedian $1,202 · 10th–90th $724–$2,2390%10%20%10th90th$1,202$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,995.26 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$61.66 / $630.96 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $8,709.64 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,071.52 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,258.93 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $186.21 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,380.38 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $9,120.11 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,479.11 / $1,862.09