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New Mexico rates for HCPCS 15840

Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.56 / $2,095.00 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $8,378.81 / $13,001.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.06 / $1,235.76 / $1,686.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00