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New Mexico rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $8.09 / $8.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.93 / $11.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $23.10 / $38.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.41 / $4.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $3.99 / $5.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46