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New Mexico rates for HCPCS A4312

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way, all silicone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $18.32 / $18.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $17.88 / $72.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $20.13 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.15 / $17.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $25.20 / $37.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $6.90 / $18.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $17.82 / $25.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $10.69 / $16.10