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New Mexico rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.88 / $2,898.59 / $4,791.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,023.36 / $19,248.14 / $32,245.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.73 / $3,196.22 / $4,553.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.88 / $306.00 / $5,772.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,291.07 / $3,934.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.45 / $197.45 / $4,495.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.97 / $306.00 / $5,816.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,267.39 / $5,379.47 / $7,594.55