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New Mexico rates for HCPCS 15841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.74 / $2,121.67 / $9,373.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.82 / $2,320.94 / $2,908.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,642.98 / $2,765.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.70 / $2,100.00 / $2,572.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.84 / $2,652.52 / $3,463.84
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
$1,839.11 / $2,630.07 / $3,629.22