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New Mexico rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.72 / $1,039.72 / $2,050.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.72 / $1,640.43 / $1,666.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.86 / $182.86 / $182.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.15 / $339.30 / $443.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $433.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.88 / $360.38 / $1,212.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.46 / $417.60 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.01 / $547.33 / $3,091.30