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New Mexico rates for HCPCS 19301

Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,011.87 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $2,630.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $8,912.51 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $812.83 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $933.25 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $912.01 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,513.56