go back

New Mexico rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $47.86 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $186.21 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $75.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $64.57 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $38.90 / $309.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $32.36