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New Mexico rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.05 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.73 / $651.46 / $1,333.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.78 / $794.84 / $1,158.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $110.95 / $924.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.50 / $668.58 / $984.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.29 / $869.36 / $1,351.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.20 / $941.78 / $1,389.60