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New Mexico rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.41 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $15.83 / $275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.71 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.68 / $1.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.91 / $1.37