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New Mexico rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.93 / $95.93 / $194.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.93 / $155.90 / $155.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.55 / $69.55 / $69.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.38 / $326.37 / $495.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $64.62 / $151.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.86 / $516.20 / $704.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.68 / $302.45 / $462.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.28 / $284.72 / $391.78