go back

New Mexico rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,691.53 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,659.59 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $15,488.17 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,819.70 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,698.24 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,862.09 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,905.46 / $3,548.13