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New Mexico rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $831.76 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $831.76 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $302.00 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $794.33