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New Mexico rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.63 / $3.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $32.36 / $275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.50 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.54 / $9.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.44 / $3.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.24 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.85 / $2.80