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New Mexico rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $562.34 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,265.80 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $912.01