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New Mexico rates for HCPCS A4315

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $94.26 / $98.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $23.30 / $106.32
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
$22.13 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $22.13 / $26.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $32.85 / $49.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.09 / $24.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $26.04 / $36.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $15.62 / $23.55