go back

New Mexico rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $31.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68