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New Mexico rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $19.00 / $38.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $15.20 / $81.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $14.46 / $23.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $6.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.29 / $15.20 / $24.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $23.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.54 / $7.77