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New Mexico rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.39 / $258.39 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.50 / $427.20 / $696.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.86 / $99.35 / $149.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,327.00