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New Mexico rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.11 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.69 / $595.54 / $930.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.21 / $743.26 / $1,118.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $124.55 / $1,037.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.41 / $610.48 / $850.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.79 / $810.89 / $1,455.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.03 / $842.71 / $1,261.83