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New Mexico rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $10.40 / $24.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $5.65 / $9.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95