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New Mexico rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

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
$1,447.46 / $1,634.18 / $5,923.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.33 / $2,318.42 / $2,888.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,462.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.79 / $1,945.69 / $7,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.42 / $2,435.71 / $3,949.97
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
$1,688.04 / $2,345.19 / $3,798.08