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New Mexico rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.55 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.70 / $7.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $15.67 / $26.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.75 / $2.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92