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New Mexico rates for HCPCS A6154

Wound pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $14.15 / $14.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $12.79 / $14.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $19.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.09 / $22.09 / $32.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.22 / $15.82 / $17.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $24.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $8.52 / $12.84