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New Mexico rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.67 / $2,101.67 / $4,142.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.67 / $3,314.03 / $3,356.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.33 / $2,076.60 / $3,383.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $108.97 / $342.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.30 / $203.30 / $203.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $343.95 / $449.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $450.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.41 / $370.83 / $2,451.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.80 / $410.09 / $2,250,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,833.27 / $6,833.27 / $6,833.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.38 / $1,374.96 / $3,261.87