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New Mexico rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.42 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $610.51 / $1,175.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.64 / $679.43 / $845.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.61 / $730.57 / $1,028.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $97.40 / $811.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.52 / $573.22 / $1,335.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.10 / $802.98 / $1,258.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.41 / $805.55 / $1,224.01