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New Mexico rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.31 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.55 / $873.77 / $3,959.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $8,378.81 / $13,001.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.46 / $1,050.83 / $1,331.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.63 / $1,121.93 / $1,415.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $755.65 / $1,316.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.57 / $1,004.77 / $1,296.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.38 / $1,204.36 / $1,677.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.71 / $1,320.05 / $1,673.75