go back

New Mexico rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.97 / $60.97 / $60.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $53.27 / $60.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $30.28 / $54.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42