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New Mexico rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.10 / $35.10 / $1,581.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $310.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $70.20 / $59,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.25 / $52.65 / $70.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.25 / $49.25 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87