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New Mexico rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $15.96 / $15.96
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 / $10.15 / $14.51