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New Mexico rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $2,820.92 / $2,820.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $2,296.98 / $3,922.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.81 / $5,493.01 / $9,086.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.62 / $1,032.62 / $1,032.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.61 / $1,013.88 / $1,808.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65