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New Mexico rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $61.77 / $61.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $39.54 / $50.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.38 / $247.96 / $414.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $47.33 / $47.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $45.74 / $45.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.05 / $48.20 / $72.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54