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New Mexico rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $5.69 / $6.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.14 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $8.91 / $18.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.41 / $9.38