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New Mexico rates for HCPCS J7185

Injection, Factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.12 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.11 / $1.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67