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New Mexico rates for HCPCS 15740

Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.50 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.75 / $985.95 / $2,440.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.23 / $5,620.80 / $8,722.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.69 / $1,032.33 / $1,553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.36 / $1,275.30 / $1,616.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $863.36 / $1,553.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.98 / $1,052.26 / $1,545.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.22 / $1,366.84 / $1,870.91
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
$877.10 / $1,459.61 / $1,860.29