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New Mexico rates for HCPCS A6230

Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.51 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $2.29
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
$1.51 / $2.74 / $3.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.30 / $2.18