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New Mexico rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $774.06 / $774.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $501.47 / $695.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.40 / $496.74 / $496.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74