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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
$1,544.00 / $5,663.93 / $9,014.36
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,060.90 / $3,060.90 / $3,060.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.73 / $554.92 / $1,652.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.62 / $8,355.23 / $13,396.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.17 / $810.09 / $1,008.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.41 / $932.44 / $1,209.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $193.56 / $1,042.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.64 / $667.62 / $827.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.87 / $932.44 / $1,209.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.12 / $939.77 / $1,521.53