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New Mexico rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,961.62 / $7,961.62 / $7,961.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,124.68 / $7,961.62 / $7,961.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,024.61 / $7,961.62 / $7,961.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $2,400,000.00