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New Mexico rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.55 / $20.55 / $20.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.95 / $20.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.92 / $17.95 / $18.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39