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New Mexico rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.97 / $0.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.80 / $3.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.77 / $1.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63