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New Mexico rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $31.92 / $93.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $15.25 / $23.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $87.38 / $141.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $10.79 / $12.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $8.57 / $8.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $15.28 / $24.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.83 / $25.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $13.19 / $24.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $11.87 / $11.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.80 / $8.09