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New Mexico rates for HCPCS 21182

Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,143.84 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.74 / $2,143.84 / $6,825.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.39 / $2,934.21 / $3,802.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,291.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.91 / $2,588.66 / $4,404.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.14 / $3,094.03 / $5,192.47
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
$2,144.30 / $3,022.81 / $4,706.99