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New Mexico rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.36 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.09 / $382.96 / $1,084.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.72 / $362.63 / $947.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.52 / $382.53 / $807.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $95.36 / $794.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.86 / $413.67 / $675.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.15 / $459.03 / $1,042.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.84 / $658.26 / $964.84