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New Mexico rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $102.33 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $218.78 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $67.61 / $95.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $67.61 / $109.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $69.18