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New Mexico rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $27.35 / $54.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $21.88 / $117.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.34 / $100.27 / $163.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.85 / $11.85 / $11.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $20.65 / $25.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $10.02 / $10.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $18.43 / $25.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $18.23 / $24.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.85 / $10.94