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New Mexico rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.91 / $5,448.50 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.02 / $1,383.26 / $3,458.01
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
$804.91 / $1,341.52 / $2,664.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.34 / $1,992.91 / $2,503.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,642.98 / $2,350.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.82 / $1,770.79 / $2,156.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.90 / $2,233.26 / $2,815.09
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
$1,619.64 / $2,224.11 / $2,834.65