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New Mexico rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.65 / $294.93 / $837.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $38.31 / $124.01
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
$32.27 / $32.27 / $43.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $4.23 / $30.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17