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New Mexico rates for HCPCS J0841

Injection Crotalidae Immune F(Ab)2 (Equine) 120 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,627.81 / $1,627.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,327.34 / $3,312.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,884.90 / $6,936.43 / $20,968.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.10 / $1,045.15 / $1,045.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.55 / $1,043.55 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15