go back

New Mexico rates for HCPCS 75810

Splenoportograpy Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.81 / $2,099.81 / $4,140.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.81 / $3,312.16 / $3,355.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.12 / $359.12 / $359.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.81 / $614.03 / $856.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $881.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.40 / $663.68 / $2,449.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.87 / $770.41 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.59 / $1,681.78 / $4,054.22