go back

New Mexico rates for HCPCS 15777

Implnt Bio Implnt For Soft Tissue Reinforcement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.63 / $1,965.00 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$491.25 / $4,448.80 / $4,448.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.63 / $6,202.85 / $10,107.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.58 / $294.74 / $339.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00