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New Mexico rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.28 / $30.55 / $61.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $24.44 / $130.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $8.39 / $29.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $11.20 / $11.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $8.89 / $22.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $11.72 / $20.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.79 / $12.22