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New Mexico rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $468 · 10th–90th $195$1,3180%10%20%10th90th$468Professionalmedian $60 · 10th–90th $45$850%20%40%10th90th$60$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $416.87 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,096.48 / $1,412.54