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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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.85 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $38.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $19.50 / $26.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.18 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $16.60