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New Mexico rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

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
$923.60 / $1,045.65 / $2,119.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,935.67 / $25,966.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.75 / $1,213.43 / $1,835.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.00 / $1,473.71 / $1,901.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,570.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.42 / $1,301.36 / $3,100.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.40 / $1,561.46 / $2,487.51
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
$1,079.94 / $1,497.64 / $2,362.90