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New Mexico rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.08 / $1,543.83 / $8,024.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.91 / $2,221.67 / $2,729.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,361.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.90 / $1,869.19 / $3,595.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.30 / $2,330.11 / $3,737.49
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
$1,591.20 / $2,165.80 / $3,330.64