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New Mexico rates for HCPCS Q2049

Injection, doxorubicin HCl, liposomal, imported Lipodox, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.82 / $546.82 / $546.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.48 / $471.99 / $546.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.26 / $508.43 / $661.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $508.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.92 / $555.09 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.48 / $508.43 / $575.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $575.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.60 / $575.60 / $610.14