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New Mexico rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.32 / $897.32 / $897.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.30 / $1,378.02 / $3,959.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $1,686.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.94 / $1,829.93 / $2,744.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $442.03 / $1,375.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $969.19 / $1,646.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.84 / $684.70 / $1,031.40