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New Mexico rates for HCPCS A4690

Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $297.52 / $358.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.65 / $487.65 / $487.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
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
$297.52 / $469.93 / $934.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $283.23 / $478.96