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New Mexico rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.64 / $721.43 / $1,013.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,273.60 / $15,048.81 / $23,961.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $792.33 / $3,456.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.29 / $1,022.07 / $1,277.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,086.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.35 / $870.16 / $1,101.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.86 / $1,111.05 / $1,834.83
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
$764.42 / $1,033.00 / $1,673.45