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New Mexico rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.33 / $1,577.27 / $2,006.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.65 / $1,815.27 / $3,096.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.89 / $2,151.60 / $2,890.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $261.83 / $2,182.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.30 / $2,234.00 / $3,208.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.21 / $2,503.33 / $3,708.98