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New Mexico rates for HCPCS 15240

Fth/Gf Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.70 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.22 / $903.70 / $1,556.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.23 / $5,620.80 / $8,722.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.34 / $947.94 / $1,369.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.12 / $1,169.54 / $1,487.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $788.93 / $1,413.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.94 / $999.01 / $1,429.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.96 / $1,278.11 / $1,712.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.18 / $1,373.46 / $1,724.45