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New Mexico rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.59 / $1,485.85 / $3,074.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.87 / $1,733.19 / $2,951.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.87 / $2,093.50 / $2,790.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $248.47 / $2,070.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.97 / $2,174.19 / $3,086.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.30 / $2,286.56 / $3,530.79