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New Mexico rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; 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
$1,158.40 / $1,295.46 / $4,749.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.74 / $1,866.31 / $2,286.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,986.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.36 / $1,536.20 / $2,425.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.27 / $1,934.83 / $3,135.74
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
$1,333.81 / $1,868.58 / $2,823.30