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New Mexico rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.23 / $10.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.59 / $287.32 / $482.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $13.70 / $13.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $8.15 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $18.50 / $32.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $8.40 / $41.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $12.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.64