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New Mexico rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.14 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.14 / $461.14 / $1,030.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.62 / $515.67 / $884.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $85.41 / $711.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.99 / $432.09 / $658.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.62 / $564.59 / $990.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.10 / $724.21 / $1,048.51