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New Mexico rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.54 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $368.93 / $822.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.41 / $2,824.96 / $4,603.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.06 / $426.26 / $651.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $63.75 / $531.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.03 / $368.93 / $536.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.14 / $444.79 / $731.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $578.69 / $768.50