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New Mexico rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.88 / $3,777.41 / $8,600.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $49.45 / $110.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.86 / $213.13 / $357.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $47.70 / $64.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $40.64 / $40.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $42.29 / $48.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96