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New Mexico rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.97 / $1,447.56 / $5,287.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.80 / $1,223.67 / $1,623.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,437.53 / $1,557.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.83 / $1,138.40 / $1,458.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.14 / $1,461.39 / $1,945.73
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
$981.69 / $1,423.44 / $1,888.24