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New Mexico rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.96 / $43.93 / $87.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $26.35 / $35.14
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
$15.99 / $23.95 / $23.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $19.03 / $19.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $33.86 / $44.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $16.10 / $16.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $27.82 / $35.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $29.28 / $33.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.66 / $17.57