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New Mexico rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,812.22 / $3,536.16
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
$2,784.38 / $2,784.38 / $2,784.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.99 / $97.99 / $151.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.16 / $2,784.38 / $3,062.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $2,784.38 / $2,784.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38