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New Mexico rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.53 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.94 / $650.53 / $1,568.04
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
$555.54 / $807.81 / $1,399.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.80 / $915.59 / $1,089.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $965.07 / $1,043.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.40 / $832.18 / $1,155.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.95 / $1,043.68 / $1,303.96
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
$711.65 / $971.55 / $1,238.25