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New Mexico rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.50 / $2.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $3.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $4.57 / $5.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.17 / $3.81