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New Mexico rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $22.15 / $22.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.35 / $19.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23