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New Mexico rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $127.02 / $180.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.16 / $138.16 / $778.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.92 / $179.98 / $234.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $32.04 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $140.33 / $189.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $183.82 / $234.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.67 / $179.00 / $257.94