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New Mexico rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

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
$1,630.34 / $1,849.13 / $7,229.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.50 / $2,768.57 / $3,565.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,793.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.65 / $2,520.59 / $4,350.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.03 / $2,884.55 / $4,442.16
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
$2,070.01 / $2,728.01 / $4,218.47