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New Mexico rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.65 / $1,040.88 / $1,299.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.36 / $1,572.76 / $2,069.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,536.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.49 / $1,647.79 / $2,477.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.22 / $1,556.65 / $2,470.48