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New Mexico rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $21.21 / $42.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $16.97 / $90.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.45 / $93.67 / $152.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $11.57 / $13.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $16.52 / $26.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $7.78 / $7.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $16.97 / $27.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $14.14 / $26.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.42 / $8.68