go back

New Mexico rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.84 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $128.84 / $366.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.78 / $1,645.60 / $2,474.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $125.98 / $188.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.04 / $113.07 / $210.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $108.41 / $191.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.47 / $109.04 / $196.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $133.76 / $253.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.28 / $208.45 / $250.91