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New Mexico rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $63.10 / $65.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $26.00 / $139.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $135.88 / $233.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $17.73 / $20.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.09 / $14.09 / $14.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $24.78 / $30.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $11.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $20.59 / $26.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.81 / $21.67 / $21.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $13.00