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New Mexico rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.37 / $935.28 / $1,342.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,048.81 / $23,961.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.05 / $1,043.05 / $3,456.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.28 / $1,288.31 / $1,654.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,435.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.23 / $1,105.02 / $1,425.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.65 / $1,374.19 / $2,417.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.35 / $1,362.06 / $1,967.60