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New Mexico rates for HCPCS 21123

Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.32 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.65 / $878.32 / $1,355.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.11 / $1,213.78 / $1,548.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,284.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.82 / $1,102.58 / $2,747.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.42 / $1,310.40 / $2,091.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.70 / $1,272.59 / $1,963.79