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New Mexico rates for HCPCS 83992

Phencyclidine (PCP)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $40.74 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $125.89 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $17.78 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $22.39 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $22.39 / $28.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.30 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.91 / $20.42