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New Mexico rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.30 / $194.14 / $1,095.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.26 / $293.76 / $358.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $90.43 / $194.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.26 / $277.35 / $358.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $200.32 / $379.31