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New Mexico rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $30.03 / $36.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $70.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $47.36 / $101.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $28.58 / $48.33