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New Mexico rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68