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New Mexico rates for HCPCS 94453

High Altitude Simulatj W/Phys I&R W/O2 Titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.21 / $15.21 / $15.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.58 / $68.81 / $80.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $45.95 / $101.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.92 / $20.92 / $20.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.54 / $104.03 / $133.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $32.34 / $96.56
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.92 / $20.92 / $20.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $113.05 / $176.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.08 / $106.22 / $144.13