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New Mexico rates for HCPCS 98966

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $17 · 10th–90th $12–$330%10%10th90th$17Professionalmedian $13 · 10th–90th $9–$260%10%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $100.00 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $17.78 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $26.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $14.13 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $26.30