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New Mexico rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $18.80 / $18.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $18.35 / $74.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.54 / $18.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $25.88 / $38.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $19.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.54 / $19.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $9.98 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $10.97 / $16.53