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New Mexico rates for HCPCS 21485

Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.80 / $1,004.36 / $1,535.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.86 / $6,017.73 / $9,338.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.85 / $936.63 / $1,598.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $157.08 / $1,309.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $695.10 / $961.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.95 / $1,033.53 / $1,995.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.05 / $1,095.11 / $1,714.28