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New Mexico rates for HCPCS 15040

Harvest of skin for tissue cultured skin autograft, 100 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.19 / $5,000.27 / $7,838.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.59 / $238.20 / $411.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00