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New Mexico rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $11.74 / $11.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $9.27 / $27.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $9.60 / $12.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $7.30 / $19.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31