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New Mexico rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.89 / $368.89 / $368.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $238.98 / $331.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.21 / $1,062.42 / $1,731.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.49 / $217.49 / $376.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.12 / $236.62 / $291.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.12 / $314.71 / $407.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $236.62 / $300.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $291.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $250.82