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New Mexico rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.48 / $2.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $30.15 / $52.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $3.22 / $3.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $4.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.75 / $2.62