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New Mexico rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Facilitymedian $646 · 10th–90th $257–$1,2300%20%10th90th$646Professionalmedian $427 · 10th–90th $417–$6310%50%10th90th$427$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $56,234.13 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $512.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $446.68 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $446.68