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New Mexico rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.22 / $1.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $4.81 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.65 / $2.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.30 / $2.29