go back

New Mexico rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.70 / $127.70 / $127.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $104.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.57 / $76.53 / $124.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $82.08 / $104.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $95.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $87.00