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New Mexico rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.17 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.44 / $928.17 / $1,922.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.87 / $1,100.60 / $1,643.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.93 / $1,303.40 / $1,652.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,424.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.78 / $1,122.95 / $2,262.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.34 / $1,346.85 / $2,245.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.52 / $1,301.93 / $1,959.20