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New Mexico rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.68 / $54.72 / $112.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.79 / $18.51 / $29.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.22 / $140.65 / $228.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $17.37 / $19.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $24.37 / $39.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $25.48 / $41.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $21.23 / $39.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.11 / $19.11 / $19.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $12.55 / $13.02