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New Mexico rates for HCPCS 0109T

Quant Senaory Test&Interpj/Xtr W/Ht-Pn Stimuli

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.26 / $41.26 / $41.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $40.59 / $41.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.47 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.74 / $35.10 / $42.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.59 / $78.83 / $120.02