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New Mexico rates for HCPCS 57296

Revj W/Rmvl Prosthetic Vaginal Graft Abdml Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.89 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.60 / $951.96 / $1,581.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.64 / $1,421.29 / $1,801.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $279.61 / $1,498.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.14 / $1,350.51 / $1,387.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.74 / $1,425.32 / $1,801.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.91 / $1,438.92 / $2,245.17