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New Mexico rates for HCPCS A5105

Urinary suspensory with leg bag, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $37.90 / $164.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $42.68 / $50.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $69.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.74 / $53.43 / $80.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $15.59 / $42.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $40.26 / $58.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.33 / $24.16 / $36.38