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New Mexico rates for HCPCS 76642

Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $204.17 / $389.05
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $43.65 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $93.33 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $61.66 / $151.36
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.13 / $234.42 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $58.88 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $77.62 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $489.78 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $58.88 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $39.81 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $63.10 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $112.20 / $190.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $123.03 / $194.98
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $40.74 / $57.54
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $61.66 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $380.19 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $39.81 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $63.10 / $107.15