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New Mexico rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $132.00 / $132.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.99 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $14.51 / $14.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $19.07 / $19.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.16 / $14.51