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New Mexico rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $933.25 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,265.80 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,348.96