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New Mexico rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,513.56 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $17,378.01 / $28,183.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,995.26