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New Mexico rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,285.59 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.72 / $2,285.59 / $6,674.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.69 / $2,866.86 / $4,014.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,207.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.22 / $2,573.69 / $7,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.76 / $2,959.34 / $5,528.63
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
$2,127.50 / $3,037.66 / $4,628.54