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New Mexico rates for HCPCS J9151

Injection, daunorubicin citrate, liposomal formulation, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.23 / $50.23 / $75.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.60 / $52.42 / $60.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.66 / $57.66 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $57.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $62.95 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.88 / $62.15 / $276.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $57.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $276.00 / $292.56