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New Mexico rates for HCPCS D7953

Bone Replacement Graft For Ridge Preservation - Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.67 / $365.67 / $365.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $98.15 / $405.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $67.31 / $78.05