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New Mexico rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.17 / $25.36
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
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $30.84 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.77 / $19.97 / $21.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $24.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97