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New Mexico rates for HCPCS A5121

Skin barrier; solid, 6 x 6 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $7.39 / $30.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $8.32 / $9.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $7.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.41 / $15.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $7.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.36 / $12.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.42 / $6.66