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New Mexico rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $38.29 / $76.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $30.64 / $164.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.96 / $169.13 / $274.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.57 / $20.88 / $24.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $29.32 / $47.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $14.04 / $14.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.37 / $28.08 / $44.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $25.53 / $47.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $25.53 / $25.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.19 / $15.65