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New Mexico rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Facilitymedian $933 · 10th–90th $95–$2,0420%10%10th90th$933Professionalmedian $1,175 · 10th–90th $347–$1,7380%20%10th90th$1,175$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,041.74 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,174.90 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $346.74 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $67.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $870.96 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $2,238,721.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $3,235.94 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $794.33 / $2,691.53