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New Mexico rates for HCPCS 15261

Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.08 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.36 / $202.08 / $722.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.23 / $5,620.80 / $8,722.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.63 / $216.97 / $329.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $172.91 / $307.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.55 / $201.85 / $310.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.57 / $249.29 / $397.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.18 / $301.27 / $421.55