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New Mexico rates for HCPCS 21435

Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)

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
$1,209.32 / $1,427.12 / $6,341.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.16 / $1,921.74 / $2,556.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,189.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.06 / $1,667.91 / $2,991.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.01 / $2,049.85 / $3,454.46
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
$1,433.53 / $2,035.00 / $3,076.20