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New Mexico rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.25 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.88 / $859.25 / $3,833.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.35 / $1,232.83 / $1,574.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,310.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.98 / $1,011.08 / $4,811.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.88 / $1,274.64 / $2,079.15
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
$873.67 / $1,207.50 / $1,717.15