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New Mexico rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.06 / $89.06 / $89.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $77.81 / $89.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.73 / $79.50 / $97.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $90.69