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New Mexico rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $12.30 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $16.22 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $3.02 / $8.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.27 / $4.27