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New Mexico rates for HCPCS C9358

Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.59 / $22.59 / $22.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $19.73 / $22.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $57.19 / $95.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.41 / $19.26 / $19.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00