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New Mexico rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.20 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.23 / $812.20 / $2,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,212.40 / $11,123.68 / $17,261.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.66 / $1,152.99 / $1,456.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,255.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.35 / $994.35 / $1,530.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.94 / $1,191.43 / $1,972.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $31,244.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.76 / $1,152.48 / $1,858.08