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New Mexico rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.61 / $405.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.16 / $14.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $30.25 / $49.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $4.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.48 / $8.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $11.91 / $148.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.32