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New Mexico rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$130.58 / $130.58 / $178.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.18 / $700.00 / $754.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.96 / $298.91 / $750.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.81 / $812.99 / $1,196.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $171.77 / $500.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.67 / $891.82 / $1,207.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $725.65 / $1,343.00