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New Mexico rates for HCPCS A4911

Drain bag/bottle, for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $21.03 / $21.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $23.06 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $2,250,000.00 / $2,400,000.00