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New Mexico rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.49 / $1,023.86 / $25,364.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $1,103.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.63 / $772.17 / $1,142.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.67 / $1,409.74 / $2,046.94