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New Mexico rates for HCPCS J1569

Injection, immune globulin, (Gammagard liquid), nonlyophilized, (e.g., liquid), 500 mg

Facilitymedian $105 · 10th–90th $51–$3160%10%10th90th$105Professionalmedian $48 · 10th–90th $47–$1230%50%10th90th$48$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $208.93 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $97.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $48.98 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $46.77