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New Mexico rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.45 / $1,923.45 / $1,923.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.45 / $2,625.66 / $10,734.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.13 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,861.13 / $2,861.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,789.37 / $3,486.72 / $5,230.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $1,036.91 / $2,861.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,861.13 / $4,086.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.04 / $1,838.62 / $2,420.00