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New Mexico rates for HCPCS Q4081

Injection, epoetin alfa, 100 units (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.86 / $1.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $3.80 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.02 / $1.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.88 / $1.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.90