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New Mexico rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $20.64 / $41.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $16.51 / $88.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.77 / $91.14 / $147.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $11.26 / $12.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $16.11 / $25.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $16.51 / $26.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $13.76 / $25.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.26 / $9.22