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New Mexico rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.85 / $17.85 / $17.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $17.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $16.64 / $16.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.38 / $23.60