go back

New Mexico rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $904.20 / $904.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $736.56 / $1,296.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.73 / $382.73 / $382.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.27 / $316.55 / $579.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97