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New Mexico rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $4.29 / $4.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $5.24 / $6.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.53 / $10.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.15 / $5.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $9.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.78 / $4.17