go back

New Mexico rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,311.31 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,187.76 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $7,585.78 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $933.25 / $4,265.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,137.96 / $2,137.96