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New Mexico rates for HCPCS A4246

Betadine Or Phisohex Solution Per Pint (Not Valid For Medicare)

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 / $1.51 / $1.65
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
$0.87 / $1.65 / $1.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $16.66 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.74 / $3.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.30 / $2.29