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New Mexico rates for HCPCS 15151

Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $204.17 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.67 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $154.88 / $190.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $213.80