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New Mexico rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $526.67 / $651.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $6.17 / $180.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $26.28 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.85 / $4.85 / $4.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.86 / $8.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86