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New Mexico rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $85 · 10th–90th $69$910%20%10th90th$85Professionalmedian $100 · 10th–90th $47$2820%10%10th90th$100$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $85.11 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $54.95 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $117.49 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $93.33 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $275.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $67.61 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $218.78 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $154.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $275.42 / $407.38
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $70.79 / $93.33
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $218.78 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $239.88 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $58.88 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $186.21 / $331.13