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New Mexico rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.62 / $148.77 / $855.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.10 / $227.65 / $505.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.62 / $86.94 / $311.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.24 / $141.93 / $305.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.63 / $182.63 / $182.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.15 / $72.17 / $524.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $130.09 / $233.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.79 / $271.04 / $407.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.92 / $108.70 / $156.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.90 / $162.34 / $250.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $101.17 / $221.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.49 / $333.59 / $439.18
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.76 / $115.17 / $149.53
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.90 / $160.66 / $250.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $205.17 / $484.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.91 / $80.20 / $194.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.93 / $124.96 / $294.86