go back

New Mexico rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $28.67 / $28.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $23.05 / $37.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $18.14 / $18.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14