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New Mexico rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $1,584.89 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,862.09 / $2,511.89