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New Mexico rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $38.90 / $281.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $69.18 / $109.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $77.62 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $112.20