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New Mexico rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $11.63 / $12.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.03 / $11.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.94 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $9.78 / $12.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $12.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.81