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New Mexico rates for HCPCS 73721

Mri Any Jt Lower Extrem W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.32 / $156.15 / $382.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.32 / $475.00 / $712.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.86 / $140.00 / $264.06
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$97.66 / $350.00 / $350.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.00 / $335.00 / $631.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.16 / $201.16 / $201.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.34 / $90.41 / $131.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.06 / $142.90 / $279.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.16 / $546.44 / $807.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.28 / $87.71 / $125.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.38 / $468.86 / $693.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $78.81 / $242.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.83 / $499.53 / $736.51
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.91 / $89.73 / $117.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.38 / $468.86 / $678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $423.95 / $735.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.69 / $63.58 / $154.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $338.79 / $548.66