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New Mexico rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $36.47 / $36.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.05 / $26.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $8.74 / $8.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $4.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $7.96 / $11.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $3.35 / $4.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19