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New Mexico rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $34.26 / $43.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $55.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $37.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $40.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92