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New Mexico rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Facilitymedian $93 · 10th–90th $15–$2630%10%10th90th$93Professionalmedian $22 · 10th–90th $15–$310%20%40%10th90th$22$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $173.78 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $45.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $48.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $24.55 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $23.44