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New Mexico rates for HCPCS L8030

Breast Prosthesis Silicone Or Equal (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.87 / $220.87 / $220.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.87 / $301.50 / $1,322.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.54 / $1,967.84 / $3,483.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.87 / $319.83 / $381.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $296.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.29 / $400.37 / $600.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.95 / $121.95 / $300.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $443.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.66 / $188.91 / $339.62