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New Mexico rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.07 / $2,040.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.07 / $670.57 / $1,314.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.05 / $8,740.11 / $13,562.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.20 / $795.76 / $1,106.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.85 / $921.84 / $1,312.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $107.76 / $898.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.83 / $759.38 / $1,091.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.22 / $983.30 / $1,451.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $14,184.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.34 / $992.20 / $1,349.09