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New Mexico rates for HCPCS Q4140

BioDFence, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $163.24 / $205.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $275.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $205.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $345.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62