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New Mexico rates for HCPCS 15110

Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.85 / $5,000.27 / $7,838.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.91 / $1,016.10 / $1,225.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00