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New Mexico rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $24.78 / $49.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $19.82 / $106.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $91.19 / $148.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $19.00 / $31.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $9.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $19.82 / $32.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $31.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.77 / $10.13