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New Mexico rates for HCPCS 0103U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,231.85 / $5,231.85 / $5,231.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.57 / $1,133.57 / $1,133.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,703.12 / $2,842.64 / $2,842.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.57 / $1,408.65 / $1,743.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.87 / $2,092.73 / $2,424.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $469.55 / $670.79