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New Mexico rates for HCPCS J2792

Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $52.48 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $102.33 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $69.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $33.88