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New Mexico rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.01 / $316.81 / $450.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $346.31 / $778.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.55 / $444.50 / $585.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.65 / $233.28 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.94 / $351.41 / $475.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.38 / $451.20 / $585.89
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
$321.20 / $445.50 / $640.22