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New Mexico rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $11.99 / $11.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $10.73 / $11.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $75.72 / $131.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $9.06 / $14.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $16.63 / $24.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $11.92 / $13.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $20.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.99 / $10.53