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New Mexico rates for HCPCS 76705

Us Abdominal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.64 / $481.84 / $945.64
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.96 / $44.95 / $109.65
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$70.43 / $381.40 / $440.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $107.68 / $420.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.12 / $32.59 / $115.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.27 / $80.89 / $362.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.02 / $22.43 / $56.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.94 / $508.46 / $871.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $59.75 / $105.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.91 / $55.91 / $55.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $123.46 / $174.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.42 / $37.11 / $51.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.07 / $88.55 / $125.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $40.32 / $110.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $115.76 / $151.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $154.32 / $211.99
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.20 / $38.94 / $51.38
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.07 / $88.85 / $125.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.69 / $235.69 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.75 / $108.81 / $182.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.22 / $31.27 / $65.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.80 / $77.54 / $123.55