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New Mexico rates for HCPCS J7203

Injection Factor IX, (antihemophilic factor, recombinant), glycoPEGylated, (Rebinyn), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $7.14 / $7.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.67 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46