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New Mexico rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $34.20 / $58.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $17.02 / $91.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $93.95 / $152.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.60 / $13.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $9.22 / $9.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $16.52 / $26.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $7.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $17.02 / $27.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $14.18 / $26.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $14.18 / $14.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.43 / $8.69