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New Mexico rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $218.93 / $218.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $141.83 / $196.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.93 / $750.28 / $1,260.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.62 / $140.99 / $140.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99