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New Mexico rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $559.47 / $703.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $404.11 / $404.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.80 / $553.94 / $609.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $656.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $553.94