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New Mexico rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $321.18 / $403.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.25 / $375.00 / $784.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $445.82 / $781.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $372.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $463.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00