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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
$341.74 / $1,466.25 / $1,466.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $34.49 / $34.49
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
$2.02 / $2.02 / $244.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $20.90 / $31.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.33 / $34.49 / $243.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $244.80