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New Mexico rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.42 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.38 / $279.23 / $627.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.13 / $280.00 / $501.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $50.87 / $423.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.05 / $253.37 / $350.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.92 / $323.02 / $574.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.25 / $392.62 / $578.49