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New Mexico rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.85 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.93 / $523.16 / $2,162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.08 / $766.80 / $1,000.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $766.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.99 / $676.13 / $1,762.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.47 / $812.61 / $1,187.73
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
$600.28 / $794.28 / $1,186.64