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New Mexico rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $5.72 / $5.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $6.57 / $26.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.69 / $63.25 / $118.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $7.40 / $8.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $5.57 / $6.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $13.58 / $20.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $6.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $6.36 / $9.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.93 / $5.92