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New Mexico rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,201.07 / $15,048.81 / $23,352.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.01 / $943.33 / $1,634.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00