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New Mexico rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.20 / $2,145.78 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,643.21 / $8,978.04 / $14,642.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.38 / $315.38 / $419.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.25 / $359.31 / $494.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00