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New Mexico rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $7.13 / $7.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.24 / $7.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $15.09 / $18.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $10.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $32.34 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $12.33 / $14.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.63 / $9.78