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New Mexico rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.47 / $4.73
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
$3.84 / $3.84 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $6.16 / $8.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $4.38 / $11.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.66