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New Mexico rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.89 / $313.12 / $662.70
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $48.55 / $852.30
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$87.23 / $296.95 / $1,379.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.44 / $133.18 / $622.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.06 / $44.46 / $157.63
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.72 / $65.84 / $328.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.06 / $89.16 / $208.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.03 / $105.03 / $105.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.68 / $30.68 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.15 / $51.15 / $51.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.94 / $508.46 / $871.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $74.41 / $133.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.23 / $69.23 / $69.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $154.33 / $218.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.81 / $45.87 / $63.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.48 / $109.37 / $157.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $49.83 / $135.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.58 / $150.63 / $192.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.41 / $192.91 / $262.58
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.15 / $48.91 / $63.51
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.48 / $110.86 / $157.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.69 / $235.69 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $134.21 / $226.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.70 / $37.68 / $73.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.59 / $97.51 / $152.66