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New Mexico rates for HCPCS A4355

Irrigation Tubing Set For Continuous Bladder Irrigation Through A Three-Way Indwelling Foley Catheter Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $9.06 / $19.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $7.51 / $35.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.36 / $51.50 / $92.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $8.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $10.59 / $15.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.41 / $8.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $10.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.29 / $7.96