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New Mexico rates for HCPCS A4231

Infusion Set For External Insulin Pump Needle Type (Special Coverage Instructions Apply. See Cim: 60-14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $27.07 / $27.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $23.65 / $27.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $6.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $9.79 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $23.08 / $28.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $36.19