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New Mexico rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.34 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.45 / $139.34 / $274.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.69 / $541.54 / $882.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.33 / $121.21 / $223.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $125.91 / $278.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $140.99 / $234.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $166.17 / $285.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.77 / $137.71 / $319.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.05 / $257.55 / $328.25