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New Mexico rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $120.23 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62