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New Mexico rates for HCPCS 57295

Revj/Rmvl Prosthetic Vaginal Graft Vaginal App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,925.42 / $7,018.11 / $11,757.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.65 / $703.73 / $722.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00