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New Mexico rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $2,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,856.00
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
$2,398.00 / $2,398.00 / $4,856.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.46 / $2,453.46 / $2,400,000.00