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New Mexico rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.84 / $101.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $130.47 / $624.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $276.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $780.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04