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New Mexico rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.23 / $5,000.27 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.16 / $414.41 / $675.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $259.45 / $259.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.09 / $226.06 / $329.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,158.00 / $1,327.00