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New Mexico rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $125.04 / $157.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $209.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $157.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $161.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80