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New Mexico rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.75 / $53.75 / $53.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.21 / $58.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $198.50 / $323.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.42 / $37.42 / $54.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $39.69 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88