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New Mexico rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $5.56 / $6.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.83 / $62.05 / $107.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $6.76 / $8.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $13.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $6.68 / $7.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $10.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.59 / $5.41