go back

New Mexico rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.01 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $111.80 / $210.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.10 / $188.48 / $269.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $199.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.86 / $182.49 / $328.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.90 / $234.01 / $340.96
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
$138.94 / $211.74 / $311.83