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New Mexico rates for HCPCS A4314

Insertion tray with 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
$25.67 / $25.67 / $113.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $25.67 / $101.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $159.88 / $285.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $26.24 / $31.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $21.22 / $27.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $32.85 / $49.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $24.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $24.96 / $35.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $14.98 / $22.57