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New Mexico rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $2.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.23 / $2.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00