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New Mexico rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.47 / $19.47 / $19.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $17.60 / $19.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.04 / $12.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.79 / $30.80 / $43.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $21.11 / $23.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.04 / $31.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $11.36 / $17.13