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New Mexico rates for HCPCS A4755

Blood tubing, arterial and venous combined, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $10.84 / $10.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $10.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $2,250,000.00 / $2,400,000.00