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New Mexico rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,096.48 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $15,135.61 / $31,622.78