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New Mexico rates for HCPCS B9004

Parenteral Nutrition Infusion Pump Portable (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,205.54 / $3,205.54 / $3,205.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.32 / $3,205.54 / $10,562.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.20 / $462.93 / $551.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.51 / $579.51 / $3,693.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.85 / $2,269.36 / $3,397.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.09 / $1,454.09 / $1,454.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.87 / $4,132.79 / $4,891.88