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New Mexico rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.08 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $763.23 / $1,585.66
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
$419.95 / $876.52 / $1,167.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.61 / $992.50 / $1,254.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $662.91 / $1,193.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.25 / $877.44 / $1,198.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.11 / $1,059.40 / $1,485.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.84 / $1,179.99 / $1,478.75