go back

New Mexico rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.76 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.34 / $865.10 / $3,887.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $8,378.81 / $13,001.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.52 / $1,081.20 / $1,413.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $752.34 / $1,352.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.70 / $941.16 / $1,338.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.67 / $1,197.70 / $1,618.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.90 / $1,290.30 / $1,644.50