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New Mexico rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $170 · 10th–90th $17–$9770%10%10th90th$170Professionalmedian $58 · 10th–90th $58–$890%50%90th$58$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $89.13 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $660.69 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $93.33 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $57.54