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New Mexico rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.13 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.93 / $769.13 / $2,742.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.89 / $1,106.20 / $1,520.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,172.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.28 / $1,013.80 / $1,762.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.38 / $1,168.80 / $1,847.58
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
$840.06 / $1,087.83 / $1,727.72