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New Mexico rates for HCPCS 70390

Sialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.11 / $109.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $144.54 / $234.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $158.49 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,047.13 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $208.93