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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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.23 / $14.45