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New Mexico rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,509.35 / $1,897.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,396.74 / $7,911.45 / $13,651.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.35 / $1,600.61 / $2,435.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.67 / $1,494.41 / $1,875.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,979.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41