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New Mexico rates for HCPCS 15101

Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $8,378.81 / $13,001.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.90 / $190.02 / $291.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00