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New Mexico rates for HCPCS Q4152

Dermapure Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $51.22 / $64.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $50.42 / $89.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.49 / $50.72 / $64.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $57.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72