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New Mexico rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.33 / $34.33 / $37.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $29.63 / $34.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $26.29 / $36.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $37.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $31.80