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New Mexico rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $15.81 / $15.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $13.81 / $15.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.78 / $99.78 / $99.78