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New Mexico rates for HCPCS A4707

Bicarbonate concentrate, powder, for hemodialysis, per packet

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $5.14 / $5.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.14 / $5.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $2,250,000.00 / $2,400,000.00