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New Mexico rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

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
$1,481.31 / $1,680.79 / $6,413.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.30 / $2,402.41 / $3,060.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,535.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.40 / $2,107.14 / $3,739.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.97 / $2,486.67 / $4,037.95
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
$1,852.83 / $2,371.05 / $3,585.01