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New Mexico rates for HCPCS 75880

Venography, orbital, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.15 / $80.15 / $161.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $129.57 / $669.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.23 / $69.23 / $69.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $185.09 / $239.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $39.90 / $122.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.06 / $113.48 / $199.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $206.38 / $279.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.74 / $1,346.74 / $1,346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.58 / $132.59 / $290.58