go back

New Mexico rates for HCPCS A2014

Omeza Collagen Matrix or Omeza Complete Matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.06 / $146.06 / $146.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.61 / $146.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $99.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.99 / $130.69 / $153.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $130.69 / $130.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $128.13