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New Mexico rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $45.71 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $97.72 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.71 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $16.60 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.98 / $24.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $21.88 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.59 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.32 / $8.71