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New Mexico rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.24 / $1,118.02 / $4,941.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.17 / $1,621.60 / $2,059.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,698.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.21 / $1,462.85 / $2,592.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.64 / $1,708.76 / $2,685.88
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
$1,223.04 / $1,656.21 / $2,516.66