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New Mexico rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.96 / $1,282.93 / $1,985.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,201.07 / $15,048.81 / $23,352.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.79 / $1,850.60 / $2,416.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,881.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.96 / $1,632.36 / $2,764.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.28 / $1,978.23 / $3,065.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.47 / $1,884.29 / $2,976.74