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New Mexico rates for HCPCS A4331

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $2.92 / $3.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $22.24 / $38.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.55 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.10 / $7.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.50 / $3.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $5.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.88 / $2.84