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New Mexico rates for HCPCS J1600

Injection, gold sodium thiomalate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $12.87 / $12.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $14.53 / $15.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.15 / $30.15 / $30.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $30.15 / $30.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $15.13 / $30.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $30.15 / $30.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.50 / $17.50