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New Mexico rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.63 / $879.59 / $1,017.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $1,001.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.59 / $1,523.52 / $4,186.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.43 / $1,262.19 / $1,838.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.71 / $1,095.81 / $1,230.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,186.17 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,308.77