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New Mexico rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.58 / $128.49 / $146.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $94.10 / $209.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.61 / $636.24 / $1,091.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.83 / $76.83 / $97.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.99 / $123.99 / $123.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.57 / $90.05 / $101.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58