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New Mexico rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,598.76 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,439.07 / $2,598.76 / $6,018.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,765.53 / $4,148.29 / $5,238.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,505.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,636.87 / $3,224.81 / $4,286.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.98 / $4,286.57 / $6,871.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,980.80 / $4,119.78 / $5,684.87