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New Mexico rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.52 / $459.52 / $501.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $483.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.79 / $2,003.83 / $3,265.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.91 / $466.49 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $411.15 / $483.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $503.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $427.26