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New Mexico rates for HCPCS 80197

Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.44 / $82.08 / $136.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $15.87 / $42.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.72 / $86.13 / $147.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $11.23 / $12.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $8.92 / $8.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $15.69 / $25.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.55 / $7.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $16.48 / $26.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $25.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.17 / $8.42