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New Mexico rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $23.84 / $47.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $19.07 / $102.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.61 / $101.75 / $170.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $13.00 / $14.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $18.17 / $24.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $8.74 / $8.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $18.01 / $25.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $15.89 / $24.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.67 / $9.52