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New Mexico rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $144.54 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $371.54 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $39.81 / $190.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $93.33