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New Mexico rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $22.01 / $22.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $18.21 / $28.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.27 / $43.64 / $73.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $12.62 / $16.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.29 / $14.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34