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New Mexico rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $52.67 / $52.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $81.50 / $81.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $51.50 / $75.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $72.50 / $116.10