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New Mexico rates for HCPCS 71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $141 · 10th–90th $117$1550%50%10th90th$141Professionalmedian $182 · 10th–90th $81$4680%10%10th90th$182$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$117.49 / $141.25 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $218.78 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $199.53 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $524.81 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $117.49 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $416.87 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $331.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $549.54 / $794.33
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $123.03 / $173.78
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $416.87 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $87.10 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $354.81 / $549.54