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New Mexico rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.81 / $1,725.81 / $6,296.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,048.81 / $23,352.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.33 / $1,539.35 / $1,947.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,711.80 / $1,852.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.45 / $1,452.85 / $1,987.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.89 / $1,759.26 / $2,317.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.21 / $1,765.62 / $2,436.37