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New Mexico rates for HCPCS A4860

Disposable catheter tips for peritoneal dialysis, per 10

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $30.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $2,250,000.00