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New Mexico rates for HCPCS J0275

Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $41.69 / $51.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79