go back

New Mexico rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.19 / $3,374.21 / $5,192.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.51 / $1,905.75 / $4,704.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.22 / $3,336.00 / $6,497.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $659.12 / $5,492.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.60 / $1,363.54 / $4,484.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.10 / $3,384.37 / $7,764.88
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
$3,650.88 / $5,513.08 / $8,254.95