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New Mexico rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.99 / $25.99 / $54.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.68 / $135.82 / $615.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $79.59 / $138.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.68 / $150.54 / $212.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $48.60 / $144.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.64 / $193.30 / $281.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.38 / $126.05 / $292.32