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New Mexico rates for HCPCS A4311

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $14.68 / $59.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $16.53 / $19.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $12.44 / $16.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $20.70 / $31.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $5.67 / $15.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $14.63 / $20.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.77 / $13.24