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New Mexico rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.21 / $1,758.54 / $6,270.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.72 / $2,599.03 / $3,061.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.24 / $2,502.35 / $3,115.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,699.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.13 / $2,124.53 / $2,932.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.82 / $2,585.76 / $4,258.72
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
$1,818.37 / $2,558.92 / $3,906.89