go back

New Mexico rates for HCPCS J2778

Injection, ranibizumab, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $102.33 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $70.79 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $134.90 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $91.20