go back

New Mexico rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.32 / $195.37 / $195.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $125.32 / $175.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.40 / $239.40 / $239.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.60 / $47.60 / $245.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67