go back

New Mexico rates for HCPCS J7205

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $3.77 / $3.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.08 / $5.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.43 / $2.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43