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New Mexico rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $19.95 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.04 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $3.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.72 / $5.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.91 / $2.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $3.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.07 / $1.62