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New Mexico rates for HCPCS D0330

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $33.15 / $33.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $47.90 / $53.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.83 / $60.00 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $47.68 / $62.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00