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New Mexico rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $6.80 / $6.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $6.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $18.57 / $31.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $5.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.78 / $7.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.45 / $6.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.72