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New Mexico rates for HCPCS J7201

Injection, Factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.66 / $5.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.55 / $8.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59