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New Mexico rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $66.54 / $83.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $69.29 / $105.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $83.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $82.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88