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New Mexico rates for HCPCS 15733

Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.47 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.25 / $997.47 / $1,685.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,065.45 / $14,907.19 / $24,291.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.26 / $1,238.73 / $2,802.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.97 / $1,409.46 / $1,683.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,597.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.56 / $1,482.96 / $1,704.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.69 / $1,610.81 / $2,003.71
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
$1,297.31 / $1,659.34 / $2,081.71