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New Mexico rates for HCPCS 21206

Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.27 / $1,135.43 / $4,844.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.22 / $1,667.67 / $2,084.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,507.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.05 / $1,727.23 / $2,374.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.11 / $1,707.58 / $2,584.79