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New Mexico rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.57 / $5.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.45 / $8.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50