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New Mexico rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.85 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.44 / $822.85 / $3,694.31
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
$426.25 / $710.42 / $1,003.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.23 / $1,049.26 / $1,353.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $719.20 / $1,289.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.79 / $922.45 / $1,292.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.03 / $1,133.43 / $1,573.13
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
$899.13 / $1,188.63 / $1,698.84