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New Mexico rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $36.64 / $36.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.46 / $34.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $178.43 / $290.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $26.38 / $37.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $30.37 / $41.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $35.29 / $133.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.71