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New Mexico rates for HCPCS A4222

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $37.21 / $37.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $30.16 / $37.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $37.95 / $49.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $31.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $57.34 / $77.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.76 / $49.07 / $51.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $65.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $25.60 / $41.71