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New Mexico rates for HCPCS A4623

Tracheostomy, inner cannula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $5.01 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.17 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $13.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.75 / $19.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $6.03 / $9.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $6.03 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.89 / $5.89