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New Mexico rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.07 / $353.07 / $385.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $353.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.15 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.02 / $351.25 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $176.21 / $321.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $328.29