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New Mexico rates for HCPCS 15842

Graft for facial nerve paralysis; free muscle flap by microsurgical technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,600.91 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.91 / $3,225.99 / $14,239.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.34 / $3,494.82 / $4,418.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,642.98 / $4,194.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.21 / $3,326.41 / $3,851.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.82 / $3,986.78 / $5,250.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.55 / $3,948.20 / $5,105.75