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New Mexico rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $4.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $10.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,500.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.86 / $4.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98