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New Mexico rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $468.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.36 / $0.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.19 / $109.73 / $178.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.30 / $1.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.36 / $2.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.74 / $21.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.38