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New Mexico rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.14 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $465.19 / $740.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.05 / $8,740.11 / $13,562.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.86 / $439.94 / $773.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.27 / $617.89 / $858.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $77.85 / $701.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.19 / $486.38 / $678.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.99 / $659.53 / $966.54
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
$526.21 / $728.92 / $1,115.10