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New Mexico rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.66 / $1,450.55 / $2,915.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,369.57 / $30,689.52 / $50,008.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.25 / $1,672.54 / $2,438.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.72 / $2,051.54 / $2,733.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,160.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.35 / $1,730.75 / $3,163.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.22 / $2,226.48 / $3,451.97
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
$1,478.17 / $2,113.26 / $3,325.86