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New Mexico rates for HCPCS A4709

Acid concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $15.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $2,250,000.00 / $2,400,000.00