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New Mexico rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00