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New Mexico rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.78 / $131.78 / $131.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $107.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.54 / $104.54 / $139.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $117.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $191.74 / $191.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $129.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $146.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $89.64