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New Mexico rates for HCPCS 15135

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; 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
$1,047.13 / $1,380.38 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $245.47 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,348.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,513.56