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New Mexico rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $12.55 / $12.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.55 / $41.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $14.33 / $14.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $9.42 / $13.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $16.18 / $18.98