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New Mexico rates for HCPCS 72255

Myelography, thoracic, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $87.98 / $178.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $142.75 / $142.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.31 / $68.31 / $68.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.76 / $175.50 / $238.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $52.83 / $125.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $226.59 / $287.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.93 / $197.37 / $263.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $170.17 / $279.54