go back

New Mexico rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,805.05 / $3,805.05 / $3,805.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,454.19 / $3,416.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,774.18 / $9,587.89 / $15,623.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,016.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.36 / $2,485.76 / $3,979.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,085.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,016.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,575.67