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New Mexico rates for HCPCS 26121

Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.78 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $612.78 / $2,284.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $301.08 / $301.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.07 / $9,886.35 / $15,341.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.24 / $729.57 / $1,100.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.65 / $863.47 / $1,095.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $944.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.41 / $764.14 / $1,139.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.70 / $892.25 / $1,481.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.08 / $861.49 / $1,357.19