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New Mexico rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.95 / $14.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $50.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $13.26 / $15.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00