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New Mexico rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.84 / $1,000.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.79 / $159.91 / $356.35
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$799.01 / $799.01 / $799.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.93 / $1,037.45 / $1,690.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.33 / $137.21 / $233.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $178.59 / $267.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $139.75 / $248.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.76 / $180.79 / $264.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.35 / $192.19 / $313.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.51 / $250.20 / $315.27