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New Mexico rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$614.46 / $614.46 / $614.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,290.17 / $2,123.31
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
$805.84 / $1,530.14 / $2,661.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.28 / $1,767.23 / $2,287.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,642.98 / $1,968.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.11 / $1,649.59 / $2,074.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.77 / $2,002.86 / $2,483.39
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
$1,572.95 / $2,021.22 / $2,432.94