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New Mexico rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $660.69 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $302.00 / $602.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12