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New Mexico rates for HCPCS 76100

Radiologic examination, single plane body section (eg, tomography), other than with urography

Facilitymedian $40 · 10th–90th $38$400%20%40%10th$40Professionalmedian $72 · 10th–90th $46$1350%10%10th90th$72$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $87.10 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $61.66 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $61.66 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $104.71 / $147.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $223.87
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $104.71 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $120.23 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $89.13 / $147.91