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New Mexico rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

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
$735.71 / $818.51 / $1,346.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.40 / $1,224.70 / $1,503.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $230.30 / $1,243.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.84 / $1,067.60 / $1,235.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.93 / $1,224.70 / $1,503.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.00 / $1,340.38 / $1,826.48