go back

New Mexico rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $38.59 / $2,673.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,500.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.74 / $9.74 / $9.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40