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New Mexico rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.06 / $231.06 / $231.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.64 / $256.44 / $355.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $234.92 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.04 / $379.36 / $474.23