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New Mexico rates for HCPCS 42260

Repair of nasolabial fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.65 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.21 / $850.32 / $1,234.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.56 / $1,137.56 / $3,456.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.88 / $1,059.99 / $1,522.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $245.30 / $1,308.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.54 / $883.06 / $1,193.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.87 / $1,196.08 / $1,852.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.64 / $1,190.00 / $1,927.79