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New Mexico rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.58 / $32.58 / $276.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $29.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $32.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $33.11 / $47.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $28.14 / $148.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $30.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $22.82