go back

New Mexico rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.89 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.46 / $873.89 / $2,997.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.07 / $1,226.64 / $1,550.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,305.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.94 / $1,139.78 / $4,025.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.29 / $1,274.21 / $2,079.98
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
$920.80 / $1,234.00 / $1,934.70