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New Mexico rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,588.22 / $26,588.22 / $29,037.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $22,949.83 / $26,588.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $30,285.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $3,185.01 / $4,777.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,306.19 / $18,603.95 / $27,987.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $29,153.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $24,722.38