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New Mexico rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.20 / $1,379.60 / $2,765.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.95 / $1,899.42 / $2,517.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $226.36 / $1,886.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.60 / $1,973.93 / $2,931.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.52 / $2,064.23 / $3,253.77