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New Mexico rates for HCPCS L8049

Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $12.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $34.67 / $70.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $87.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $17.78 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $21.88