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New Mexico rates for HCPCS C9250

Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.64 / $209.64 / $209.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $183.16 / $209.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.70 / $709.41 / $1,188.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $187.57 / $215.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $187.57 / $234.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $292.74