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New Mexico rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.68 / $13.68 / $13.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.60 / $35.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $36.43 / $59.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.50 / $5.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $6.20 / $10.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $6.60 / $10.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $10.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $4.05 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.27 / $3.38