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New Mexico rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.18 / $88.18 / $88.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.96 / $85.74 / $418.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $2,014.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.81 / $540.42 / $1,359.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,438.66