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New Mexico rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.28 / $1,546.89 / $2,846.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.65 / $1,616.61 / $3,143.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $269.97 / $2,249.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.75 / $1,838.50 / $3,268.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.93 / $2,484.73 / $3,849.30