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New Mexico rates for HCPCS 21049

Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.92 / $1,246.47 / $1,886.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.69 / $1,774.71 / $2,303.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,787.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.92 / $1,897.10 / $2,987.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.33 / $1,776.24 / $2,809.89