go back

New Mexico rates for HCPCS Q4167

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.89 / $114.89 / $114.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $100.38 / $114.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.80 / $102.80 / $102.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $102.80 / $102.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.75 / $102.80 / $120.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $102.80 / $151.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.78 / $100.78 / $100.78