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New Mexico rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.75 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.59 / $917.75 / $3,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.05 / $1,319.24 / $1,696.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,403.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.22 / $1,086.58 / $1,819.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.08 / $1,376.47 / $2,220.25
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
$942.12 / $1,308.51 / $2,005.19