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New Mexico rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $27.30 / $27.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $23.42 / $56.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $121.72 / $208.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $5.31 / $18.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44