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New Mexico rates for HCPCS 86788

Antibody; West Nile virus, IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.65 / $77.52 / $77.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $20.22 / $108.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $111.21 / $181.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $13.78 / $15.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $19.41 / $31.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $9.27 / $9.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.01 / $18.54 / $32.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $25.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $20.66 / $28.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.02 / $10.33