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New Mexico rates for HCPCS J9212

Injection, interferon alfacon-1, recombinant, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $9.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.22 / $7.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $6.55 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $6.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $7.64 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $6.55 / $11.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $6.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $11.59 / $12.29