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New Mexico rates for HCPCS 80159

Clozapine

Facilitymedian $66 · 10th–90th $19–$1950%10%20%10th90th$66Professionalmedian $18 · 10th–90th $11–$300%20%10th90th$18$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $131.83 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $16.60 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $25.70 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $25.70 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $12.02