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New Mexico rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.65 / $78.65 / $178.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.27 / $475.00 / $700.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.65 / $140.00 / $161.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $192.41 / $322.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.93 / $605.46 / $873.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.93 / $122.71 / $175.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $103.61 / $324.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.18 / $590.94 / $836.92
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.56 / $122.71 / $161.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $500.62 / $980.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $91.31 / $215.67