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New Mexico rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.50 / $0.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.83 / $1.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.65 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.91 / $1.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.76