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New Mexico rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.33 / $77.08 / $221.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $29.85 / $33.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $170.95 / $277.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $21.11 / $24.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $16.78 / $16.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.21 / $29.74 / $48.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.20 / $14.20 / $14.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $30.97 / $50.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $25.81 / $48.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $15.36 / $15.83