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New Mexico rates for HCPCS 74290

Cholecystography, oral contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.87 / $65.87 / $131.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.87 / $105.22 / $105.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.31 / $68.31 / $68.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $85.34 / $126.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $32.34 / $97.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.78 / $67.27 / $89.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.13 / $114.32 / $196.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.89 / $393.89 / $393.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.95 / $83.37 / $166.69