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New Mexico rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Facilitymedian $48 · 10th–90th $27–$950%5%10%10th90th$48Professionalmedian $34 · 10th–90th $24–$450%10%20%10th90th$34$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $46.77 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $51.29