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New Mexico rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.80 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.19 / $660.07 / $1,105.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.71 / $887.09 / $1,231.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $116.81 / $973.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.51 / $702.29 / $1,004.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.60 / $942.53 / $1,541.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.56 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.25 / $999.61 / $1,462.49