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New Mexico rates for HCPCS A5122

Skin barrier; solid, 8 x 8 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.08 / $11.08 / $11.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $12.73 / $51.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $14.33 / $17.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $12.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $17.94 / $26.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $13.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $12.32 / $17.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $7.61 / $11.47