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New Mexico rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $766.87 / $766.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.58 / $1,010.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.27 / $991.08 / $1,614.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.64 / $364.64 / $580.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.51 / $183.51 / $183.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.76 / $353.01 / $612.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84