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New Mexico rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.07 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $557.33 / $1,359.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.40 / $816.42 / $1,146.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.72 / $851.62 / $1,152.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $843.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.73 / $803.37 / $1,150.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.34 / $904.92 / $1,311.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.50 / $833.03 / $1,258.73