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New Mexico rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $8.38 / $19.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.38 / $66.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $84.58 / $275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $9.21 / $10.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.15 / $9.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.51 / $16.89 / $25.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $8.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $9.31 / $14.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.75 / $8.66