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New Mexico rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.00 / $2.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.21 / $4.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
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
$2.00 / $3.65 / $4.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.73 / $3.05