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New Mexico rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $4.61 / $18.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.19 / $6.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.90 / $4.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $9.52 / $14.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $4.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.59 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.75 / $4.13