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New Mexico rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.77 / $13.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.71 / $126.28 / $205.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $18.88 / $18.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $23.04 / $34.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $23.75 / $47.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $20.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $11.32