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New Mexico rates for HCPCS J7307

Etonogestrel (contraceptive) implant system, including implant and supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,230.83 / $2,360.96 / $2,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.80 / $1,214.63 / $1,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.92 / $7,371.88 / $12,720.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.39 / $1,158.03 / $1,389.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.28 / $1,419.28 / $2,128.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.10 / $1,238.93 / $1,238.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63