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New Mexico rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.84 / $1.12
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
$0.93 / $0.93 / $1.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.12 / $1.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.96 / $8.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.88