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New Mexico rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.93 / $7,838.38 / $8,942.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,048.81 / $23,352.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.80 / $1,011.52 / $2,040.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00