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New Mexico rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $2,503.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $2.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $9.52 / $15.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.13 / $1.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11