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New Mexico rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $43.65 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $15.85 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $16.22 / $23.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $20.89 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.94 / $8.32