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New Mexico rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $870.80 / $870.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $709.24 / $1,422.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.89 / $506.89 / $506.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.57 / $505.21 / $558.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46