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New Mexico rates for HCPCS 57291

Construction of artificial vagina; without graft

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
$513.99 / $606.70 / $903.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $813.48 / $1,148.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $160.04 / $856.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.12 / $768.92 / $804.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.09 / $881.76 / $1,148.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.00 / $841.68 / $1,258.48