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New Mexico rates for HCPCS Q4230

Cogenex Flowable Amnion, per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,998.68 / $4,998.68 / $4,998.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,500.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,998.68 / $4,998.68 / $4,998.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.93 / $888.93 / $888.93