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New Mexico rates for HCPCS 40720

Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure

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
$866.94 / $1,089.10 / $1,685.81
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
$937.83 / $1,366.36 / $1,678.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,475.26 / $1,597.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.77 / $1,274.16 / $1,718.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.29 / $1,561.55 / $1,997.13
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
$1,069.63 / $1,521.33 / $1,938.94