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New Mexico rates for HCPCS 15150

Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.15 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.42 / $777.81 / $3,292.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.72 / $930.06 / $1,166.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $304.72 / $1,096.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.35 / $890.93 / $1,034.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.37 / $1,037.42 / $1,278.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.79 / $1,076.05 / $1,428.61