go back

New Mexico rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $29.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $150.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98